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l� <br /> BTS #: �a/a2v -� '/ SiLe: <br /> "ampler: Date: <br /> 'YVell I.D.: Z:_ - l IW-_11 Diameter. ? 3 C <br /> Total Well Depth: Depth to Water- i <br /> Depth la Tree Product: TnicImess of Free. Product (feet): <br /> Releremced to: F ''C Grade =D-O. M,�ttr (3f re-q'd): Ya RACE <br /> Purge Method: SampLin g INA eLh.od.: ;7ailer�� <br /> Bailer NN aGerra Disposable Bailer <br /> Disposable)jailer Peristaltic Exnraction Port <br /> ANiiddlr.burc, Extraction Pump✓ Dedicated Tubba <br /> Electric Submersible Other Other: <br /> Well Diameter Muitintier Wef[Diameter ]AW9 lier <br /> 1" 0,01 4" 0.55 <br /> 2" o.iG 5" 1.47 <br /> Gals. 0.37 Other radius*0.553 <br /> ] Case VOlunxe 5 ccifed Volumes Calculated Volume <br /> Time Temp CF) pH Codd. Turbidity � Gals. Removed Observations <br /> i <br /> Did well dewater-? Gallons actually evacuated: <br /> eallrplil�g �iJSmipling Date: <br /> Sarrlple I.D.: Laboratory: equo5. Columbia Otter <br /> Analyzed fol-: Plz-G BI-EX P IIT 3 - T.i,rl-D Odltr: �s r !jr Z)c,,4 by So la <br /> FLD. (if applicable): r;,�� Duplicate I.D. (if applicable): <br /> An.a.ly ze,d for: -T-,PH-c, B,rEx iviTs>✓ TPH.-D (Mher: <br /> D.O. (if Ft cf d): Fre-purge: n'g't- Post-purge: �g"'s/L <br /> G.R.P. (if req'd): Pre ptuge: rnV Posc-purge: IrIV <br /> SIMne TecPt SenrRr.--s� D c. 16VU, R,oeeairs va.. Sxan yl +s{sa CA 95112 (408) 573-015,55 <br />