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EQUIVA WELL MONITORING DATA SHEET <br /> BTS #: O 0�� 3 _' Site: -Lp t-1 - --� d X b <br /> Sampler. Date: <br /> Well I.D.: S"t Well Diameter: 3 4 6 8 <br /> Total Well Depth: ( Depth to Water: / 097 <br /> Depth to Free Product: Thickness of Free Product (feet): <br /> Referenced to. Pv Grade ID.O. Meter (if req'd): YSI HACH <br /> Purge Method Sampling Method: Bader <br /> Bailer Waterssabl Bail <br /> sa Bail Peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Electric Submersible Other Other <br /> Well aametcr MuIImller Well Dhameter Multrpher <br /> 1" 004 4" 065 <br /> 2" 0I6 6" 147 <br /> (Gals)X = Gals 3" 037 other radius'a 0 163 <br /> 1 Case Volume Specified Volumes Calculated Volume <br /> Tune Temp (�F) PH Cond_ Turbidity Gals.Removed Observations <br /> v � <br /> o o• • f <br /> Did well dewater? Yes o ' Gallons actually evacuated: <br /> Sampling Time- OS Sampling Date: ZQ C) <br /> Sample I D . 3 %_( Laboratory: 0equoi Columbia Other <br /> I <br /> Analyzed for- TPH-G BTX MTBE TPH-D Other <br /> EB I.D. (if applicable): @ 1-L= Duplicate LD (if applicable): <br /> Analyzed for: TPH-G BTEX MTBE TPH-D Other <br /> D O (If req'd) Pre-purge mgh, Post-purge. Ing/. <br /> O R P (if req'd) Pre-purge mV Post-purge mV <br /> Blaine 'Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (406) 573-0555 <br />