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L <br /> EQUIVA WELL MONITORING DATA SHEET <br /> BTS # �`C} C} Z �- l� - ( Site Z, U H " 7 S Z9 - C1 36 S- <br /> Sampler G, ,, �:, �, Date I - 2 -L - d o <br /> WeII I D v-,--- WeII Diameter 2 3 Q 6 S <br /> Total Well Depth 3 (� , �' Depth to Water T 1 0 <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to PVc Grade DO Meter (if req'd) YSI HACH <br /> Purge Method Sampling Methodailer <br /> Bailer Waterra Disposable Bailer <br /> Disposable Bailer Peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Clfl 5 mersib Other Other <br /> Well Diameter Multrober, Well Diameter Multmher <br /> 1" 004 4' 065 <br /> T. 016 6' 147 <br /> (Gals )X = 3 � Gals <br /> I Case Volume -Specified Volumes Calculated Volume 3' 037 other rafts i•0 163 <br /> Time Temp (°F) pH Cond Turbidity Gals Removed Observations <br /> l`t V5"� z s <br /> I _L11 VG y <br /> Did well dewater? Yes No Gallons actually evacuated 3 7 <br /> Sampling Time 2- 3 r' Sampling Date Z - Zr t - 0 0 <br /> Sample I D yYt Laboratory Sequoia Colurnbia Other <br /> Analyzed for CP:H-:G�(E_E3, (TS TPH-D Other <br /> EB I D (if applicable) ,,me Duplicate I D (if applicable) <br /> Analyzed foi TPH-G BTEX MTBE TPH-D Other <br /> DO (if req'd) Pur et mg/Los p rr eu L> Go d <br /> OR P (if req'd) Pre-purge mV Post-purge mV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />