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' J <br /> EQUIVA WELL MONITORING DATA SHEET <br /> TS # O © — G .Z Site <br /> Sampler Date - 30 , v( <br /> Well I D s- Well Diameter: 3 6 8 <br /> Total Well Depth 7 Depth to Water 17!S'l <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 Method Bailer <br /> Bailer Waterra 1>4pisposable Bailer <br /> Disposable Bailer Peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Electric Submersible Other Other <br /> Well Diameter Multiplier Well Diameter Multmfler <br /> 77 J1. 004 4" 065 <br /> �r (Gals)X _ ! !, y Gals z^ 016 6" 147 <br /> 1 Case Volume Specified Volumes Calculated Volume 3" 037 Other radtusz#0 163 <br /> Time Temp (°F) pH Cond Turbidity Gals Removed Observations <br /> � a I 1 Qo <br /> >.2 a C3 <br /> 0 T 4/ <br /> Did well dewater? Yes No Gallons actually evacuated <br /> Sampling Time /-,r 3 e-( Sampling Date --!r 0 —D <br /> tSample I D „S'-- Laboratory- Sequoia Columbia Other / <br /> Analyzed for x-G BTEx MTBE TPH-D Other <br /> EB I.D (If applicable)- @ Time Duplicate I D (if applicable) <br /> Analyzed for TPH-G BTEX MTBE TPH-D Other <br /> D O (if req'd) Pre-purge mg/L <br /> Post-purge mg'L <br /> R P (if req'd) Pre-purge mV Post-purge mV <br /> Blaine Tech Services, inc. 1680 Rogers Ave., San Jose. CIA 95112 (408) 573-0555 <br />