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STTCLL WELL lVFONTTORING DATA SHEET <br /> BTS fL��21+; - i'�c:`U Site ci�2S�42�' <br /> a,��plel � '11�_tL Date <br /> Well 1 D �„L� , _ �, Well Diameter 2 3 G 8 <br /> Total Well Depth ( M) (; Depth to Watei (DTW) ZI�D <br /> Depth to F,cc PI oduct Thickness of Fi ee Product (feet) <br /> Rcfel sliced to VQ Grade D O Metei (if req'd) YS1 HACH <br /> DTW Nvith 80% IZechaige [(Height of Watc, Column x 0 20) -I- DTWI u L r-+ <br /> Pu+gc \1L1110d f1a1I I Waterra Sampling INIL[hod BMILI -- <br /> L-r 5 Disposable Ba11tr PcnstaltiL Disposable R,tllLI <br /> Posibve Air Di%pl iccmcnt Cttr'tctlon Pump E\traclion Port <br /> EILCtrIL Submersible Other DLdlcatcd f ubmg <br /> ether <br /> WL11 rfi unu-r MulriIIJU W4,11 Di im lir Multhp!m <br /> 1 004 t 0 65 <br /> 3 0 I6 6 1 17 <br /> � <br /> Cols <br /> 1 Case Voiuilic S ecifiLd Voliirracs C alculatLd Volume � �37 nth�r r,dni '"o t63 <br /> Cond Turbidity <br /> T1nic rcmp (°r) pll (mS ar ice) (NTUs) Gals Removed Observations <br /> rLl 7 IT 1 t.. Qti r <br /> Hz7 �Ci�E LO {G tri s 5 <br /> tn3{ 4l rrt rO A I7f-(, <br /> Did well dewater? eJ No Gallons actually evacuates] � 5r <br /> Sampling Date IZ) t� �f Salnplln Time 4 5a Depth to V41aicl <br /> Sample I D l w -� Laboratoty fir, SPL Otter <br /> i <br /> Analyzed for r111 G PTr% %i111r 1 P D sr, 1,DCN 1=ua Other <br /> BB I D (if applicable) T..:,G Duplicate I D (if applicable) <br /> Analyzed for Ml G urLk MIRE Till D Oz?s 1?DCA LOB Othel <br /> D Q (if i ecl'd) P1 e-purge 17 <br /> 1 g/L Post-pulge '°g/L <br /> 0 R P (if req'd) Pte-pulge mV Post-purge 111V 1 <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San .lose, CA 95112 (800) 545-7558 <br /> i <br />