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EQUIEVA WELL MONITORING DATA SHEET <br /> BTS # Site -- — <br /> Sampler Date <br /> Well I D V� � � — Well Diameter 2 3 � 6 8 <br /> Total Well Depth S _ Depth to Water r `� <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to , Svc Grade D O Meter (if req'd) YSl HACH <br /> Ptiige Method Sampling Method <br /> Bailer 'Waterra Disposable Bailer <br /> Disposable Bailer Peristaltic Extraction Port <br /> Middleburg Exrrachon Pump Dedicated Tubing <br /> Electric Submersible Other Other <br /> Welt Diameter MiultiplierWdl Diametcr Multiplier <br /> 1 004 � , 065 <br /> (Gals )X = Gals 2 016 6" 1 47 <br /> 1 Case Volume Specified Volumes Calculated Volume 3" 037 other radius'* 0 163 <br /> Time Temp CF) pH Cond Turbidity Gals Removed Observations <br /> Did well de-,nater? Yes No Gallons actually evacuated <br /> Sampling Time Sampling Date <br /> Sample I D Laboratory =secluo Columbia other <br /> Analyzed for TPH-D Other <br /> EB I D (if applicable) t� T„nc Duplicate I D (if applicable) <br /> Analyzed for TPH-G BTEX NfTEE TPH-D Other <br /> mg <br /> D O {if req'd) Pre-purge /t ,ng Post-purge i <br /> O R P (if a,eq'd) Pre-puioe - xn-r POST-puree 1I7 i <br /> Maine Tech Services. Inc. 1630 Rogers Ave.. Sar. rase. 1406} _171.0— <br /> �� <br />