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WELL MONITORING DATA SHEET <br /> Project #: /G' [z Client: v4�9 . 4 3 / <br /> Sampler: l/'Grr�C��-t Start Date: <br /> Well 1.D.: _s Well Diameter: (Z) 3 4 6 8 <br /> Total Well Depth: f 55- Depth to Water: <br /> Before: After: Before: After: <br /> Depth to Free Product: Thickness of Free Product (feet): <br /> Referenced to: vc Grade D.O. Meter (if req'd): Y51 HCH <br /> Purge Method: Sampling Method: Bailer----- <br /> Bailer Waterra Disposable Bailer <br /> Disposable Bailer Peristaltic Extraction Fort <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Other Other: <br /> Well Diameter Multiplier „Well Diameter Multiplier <br /> �J E" 0.04 4" 0.65 <br /> (Gals.)X = 7• Gals. 2" 0.16 6` 1.47 <br /> 1 Case Volume Specified Volumes Calculated Volume 3" 0.37 Other radius•0.163 <br /> Time Temp (°F) pH Cond. Turbidity Gals, Removed Observations <br /> W d• �i. q /7G3 > <br /> ZIP <br /> Did well dewater? Yes Gallons actually evacuated: 5- <br /> Sampling <br /> Sampling Time: ZZo Sampling Date: <br /> Sample I.D.: S Laboratory: <br /> Analyzed for: H-G TE TB TPH- Other: <br /> Equipment Blank I.D.: @ ,-me Duplicate I.D.: <br /> Analyzed for: TPH-G BTEx MTBE TPH-D Other: <br /> D.O. (if req'd): Pre-purge: mg/t, Post-purge: m9/1 <br /> ORP (if req'd): Pre-purge: mV Post-purge: m <br /> F <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555° <br />