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Y) t <br /> DP WELL MONITORING DATA SHEET <br /> StatzoD # <br /> Sampler rC<s� ��, _. Date <br /> Well I D Well Diameter 2 3 ® 6 S <br /> Total Well Depth Depth to Water 7 <br /> Depth to Fiee Pt oduct Thickness of Fi ee Product (feet) <br /> Refej enced to Gi ade D O Metex (if i eq'd) YS1 HACP <br /> Weft Dnin1eLC1 Multiplier Well Diameter Multiplier <br /> 1" 0 04 4" 065 <br /> Z" <br /> 0116 6' 147 <br /> 3" 037 Other redlus7' 0 163 <br /> Purge Method Berlet San-ipling Method isposab Bade1- <br /> Disposable Bailer <br /> Middleb�,a Exhactlon i'ol-tecttis Suble Other <br /> Y lactlon Pump <br /> Otliel <br /> ) *3. —? Y _ —r �, Gals <br /> 1 Case Volimie(Gals) Specified Volumes Calculated Voluble <br /> Time remp (°F) pil Card Gals Removed Obseivations <br /> 1020 -7v. t 7. 7 I `� <br /> 102 L '-20'Q -7.6 ? <br /> r 0�6 &q. Ll G 7 L-1 I <br /> Did well dewatei? YesNo Gallons actually evacuated 4-(J, <br /> Samphng Time (g. bajJ Sampling Date <br /> Sample I D (Bliml) C> Laboratory Pace Olhe� <br /> Analyzed foJ z MTBE PH-D Othe1 <br /> Illi <br /> D O (1I req'd) Pie-purg371e /I Post-purge <br /> ORP (af ieq'd) Pie-purge mV Past-puzge mV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />