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FQUIVA AVELL 10NITORING DA FA SFIEF7 <br /> BTS 4 CJ � G�r ' ��� Site <br /> S�3i]i ilei Date <br /> 1 S� <br /> %VIII I D mv ' ?. A Well Diallictel ? 3 0 G 8 <br /> Total Well Depth � o , b Depth to Watei 3- 7 <br /> Detail to Flee Pioduc,t - [Thickness of Flet 1'iodLICt tfeet) — <br /> Relewnced tc-" _ c31adt x ID O Metei (if tecl'd) 1 sI HA( 11 _ <br /> Pinge Nictltod Ratter Watena gampltng MethodaIle, <br /> Disp(Isaltle R t,lel 1'e t ts#a111C Disposable Badet <br /> %Itddlelnnc E =<c .cut Pttmt) F%ttac hon Pett <br /> Llcttltc 4uhme-111IF Othet _ Dedir-ateri Iubme <br /> 001ei <br /> �,eEl t�sameter Llmllirdwr Iti 1121,101fl rte_@9u1Si,l <br /> '] ? n 16 n 1 17 <br /> (• I+gals ) \ _ Mals i" 0 3. r)Shc� iodius' 163 <br /> 1 Case oluille - s pett1-led \ olutlies Cak-ulated Clullle - <br /> Time Temp ("F) l?H mild Tuibidi[ ' Gals Remo%ed Obset�,@hofis <br /> 7- S � 61 �S Ib b <br /> -2- `I ')�, 7 L-1 <br /> Did well de«atei`' Yes o Gallons actually evacuated �.�.. <br /> Sampling, Time '�,amphnp- Date <br /> Sample 1 D Laboi atoi.yt.,i C 5equota Othe, _ <br /> flfi-,ilV ed fol 1-c. 131E. .l = FP11-D 1 ie r+T'a 0 9140 <br /> EB I D ( if appli(-able) Duplicate 1 D (if applicable) <br /> Analyzed fol TPI1-c; PTf-, < ^'i TBC TVII-o Othel <br /> 113�� Sr <br /> D O (if i ecl'd) Pic-pus ge '- Post-oul ge <br /> O R P (if ieq'd) Pie-Putae 111 1'o�t-,3ui e i1l`' <br /> BLAINE <br /> TcCH SERVICE SS c7 <br /> er+me�,am <br />