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Project # C Station # <br /> Sampiezl/�" Late <br /> ' r <br /> Ivirell I D r.;, )yell Diametei 2 3 4 6 8 <br /> Total Well Depth Depth to Watei ^_ <br /> Depth to Free Pi oduct Thickness of Free Pioduct (feet) <br /> Referenced to PVC Grade D 0 Metei (if req`d) YS1 xacH <br /> Purge Method Sampling Method. Batlel <br /> Bailee Waterna Disposable Bailez <br /> Disposable Bailer Peristaltic /__,�Xrractton Port <br /> Middleeurg `R=action Pump Dedicated Tubing <br /> Electric Submersible. Other Other <br /> Well Diameter, Multrolier Weil Diameter mullinher <br /> r-�- 1" 0 04 4" 0 65 <br /> (Gals )XGals <br /> _ , 0 16 G" 1 47 <br /> 1 Case Volume Specified Volumes Calculated Volume. 3., 037 other radius2*0 16-1 <br /> Time Temp (°F) pH Cond Gals Removed Observations <br /> Did well dewater? Yes No/ Gallons actually evacuated -- <br /> Sampling Tii11t? i Sampling. Date <br /> Sample I D Laboratory STL Otlje, <br /> Analyzed for SPH-G BTEX lv!TBE, TPH-D Other <br /> ES ID (if applicable) T„nr Duplicate Z D (if applicable) <br /> Analvzed for TPH-G 8TE3' NITRE TPH-D Other <br /> DO (if ieq'd) Pte-p uge �'��� Post-purge <br /> O R P (if r eq'd. Pte-purge Pas+_ urge <br /> p m�f <br /> Blaine Tech Ser-Wces, Gnc. 1680 Ropers Ave., San .terse, CA 95112 (408) 573-9555 <br />