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�T \ <br /> EQUIVA WELL MONITORING DATA SHEET <br /> BTS # � _,l Site <br /> Sampler H� Date <br /> Well I D / Gc1 _3 Well Diameter 2 3 6 8 <br /> Total Well Depth Ce;�'• Depth to Water ��, 78 <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to Fvc Grade D O Meter (if req'd) Ysi HACH <br /> Purge Method Sampling Method Bailer✓ <br /> Bader Waterra Disposable Bailer <br /> Disposable Bailer Peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Electric Submersible Other Other <br /> Well <br /> l� 1" 004 4" 065 <br /> !//� (Gals)X = v Gals 2 0 16 1 dZ <br /> 3' 037 O Other radius '0 I63 <br /> 1 Case Volume Specified Volumes Calculated Volume <br /> Time Temp (°F) pH Cond Turbidity Gals Removed 'Observations <br /> 9s�3 U <br /> 5fG �f 2G2,Toa a <br /> 3 �✓= 9' G <br /> Did well dewater? Yes iFGallons actually evacuated 36 <br /> Sampling Time /p�j Sampling Date Z� G <br /> Sample 1 D Laboratory Columbia Other <br /> ox tW Ls' <br /> Analyzed for TPH- TEX TBE TFH-D Other �. _�� <br /> EB I D (if applicable) @ 71me Duplicate I D (if applicable)- <br /> Analyzed for TPH-G BTEX MTBE TPH-D Other <br /> Pre-purge mg/L Post-purge mg/L <br /> D O (if req'd)' <br /> OR P (if req`d) Pre-purge mV Post-purge my / <br /> CA 95112 408 573-0555 / <br /> Blaine Tech Services, Inc. '1680 Rogers Ave., San Jose, ( ) I <br />