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LQ UJA A WELL MONITORING DA 1A SHE' T <br /> QTS # ULc �� - �'�� Site <br /> S�llli>71t'f Date <br /> Well l D Lj Well Diallictef 2 3 4 Q - <br /> Total Well Depth 4 Depth to Watei J": ) ;/ <br /> Depth to Nee Piocluct Tll]cbcss of Ftee Piodlic,t ( beet) <br /> Rel el enced tc, _ Gride DO Metei (if]eq'd) 5t FUAc i i <br /> Tinge Methnd Palle- %I,-1te-m sampling iliethod al]el <br /> f)lsllos'He Pf-11ctCiflic ]Jlsposal�fe Badel <br /> F`IIFCCIC111 Piim1' r\h8Ct1U11 PC'It <br /> F-1col Ic subme, bie Othel -- Dcchc.ael ]ubme <br /> (�tf�el <br /> 11' ISI tameter �f,ilt,ollef IVeILI?I�igl�r �,111i,1iplirr <br /> na4 4 nt,5 <br /> fGal= t K � `� Caals ' <br /> 037, 011ier r-,rf1u5' `11 1 63 <br /> 1 Case �c11u1[te S pec.lf ied �'oluntes C.�kulated ohmic <br /> Time Femp ("F) pH Colld Ttublcltty Gals Removed Obsef E mfolls <br /> 16 <br /> Ott 71. 1 1. 6 S7L 61- ;,13(1 r <br /> i <br /> 17 <br /> Did «ell de« atei' Ves Gallons actually evaci_lated c.i b <br /> Sampling Time 0 )ainpling Date <br /> Sample ] D �, � L<lbofatoly K,ff Sequoia Other <br /> Aii,ll%17Cd foi l-c; cri : FPH-D +)thei !�, �blf o, <br /> BB 1 D (if applicable) „� Duplic .te i D (ffappkcable) <br /> Analyzed fnt TPH t3 eTF`� IN3 D Otlle. <br /> �� SJ <br /> (i f I c(1'd Pie-bulge rr Ing Ll Post-pill <br /> O R P (if 1 ecl,d) Pte-UM ae mV Post-pin Qc t»V <br /> BLAINE <br /> amain - - - - c ^ '""S ` r:..5 • F..� (�v 3% -7.- .77 ""),IYFnr-0R c 1 fiuBe <br />