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EQUIVA WELL MONITORING DATA SHEET <br /> BTS # Site <br /> Sampler Date — [ 0 _ Oro <br /> Well I D Well Diameter 2 3 e 6 8 <br /> Total Well Depth Depth to Water S' C,-;� IS <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to vC Grade DO Meter (if req'd) YSI HACH <br /> Purge Method Sampling Method Bailer <br /> Bailer Waterra Disposable Bailer <br /> Disposable Bailer Peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubing <br /> "electric Subinersi Other Other <br /> Welliameter h6ultilpher VLeli Diameter Multi leer <br /> 1" 004 ' 065 <br /> 0 (Gals )X _ 6 Gals 2' 016 b" 1 47 <br /> 1 Case Volume Specified Volumes Calculated Volume 3' 037 Other radius •o 163 <br /> Time Temp (°F) pH Coiid Turbidity Gals Removed Observations <br /> Iola W- 4�' � ' 3 S3 <br /> 1015 o <br /> 7 . O s S:+ <br /> Did well dewater? Yes CNo Gallons actually evacuated <br /> Sampling Time /0 rSampling Date <br /> Sample I D — Laboratory �equo Columbia Other <br /> i <br /> Anak,zed for TPH- BTEXs MTB TPH-D Other <br /> EB I D (nf applicable) @ Tuan Duplicate I D (if applicable) <br /> Analyzed for TPH-G BTEX MTBE TPH-D Other { <br /> DO ( f req'd) Pre-purge m2/i post-purge mg/i <br /> O R P (if teq'd) Pre-purge MVI Post-purge znV <br /> Blaine Tec:a ue!-jic z. vc„ "3380 ',Zoger5 Ave.. San Jose. aA 35112- (40$) 573-0555 <br />