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"'I'LL l ONTITORING DATA SPE T <br /> �Prod ect � � (b � � �_ ( �Client C' <br /> Sampler - � Start Date J - - <br /> ��%ell r D HI) 'Nell Diameter 3a 6 0 <br /> Total Well Depth 1& -17 Depth to Water <br /> Before After (Before After <br /> Depth to Free Product �Thiclmess of Free Product (feet) <br /> 12eferenced to PVC' Grade DO Meter (if req`d) Ysi H_ACH <br /> Purze Method Sampling Method Bailer <br /> Bailer WaterraIsposable Bauer <br /> Disposable Bailer Peristaltic Exti-actzon Port <br /> iddieb EYrraction Pump Dedicated Tubing <br /> ectrlc Submersible Otner Otlxer <br /> Jell Dzamete* MUMU leer Well Drzmeter Mules lie, <br /> ]" <br /> 004 4" 065 <br /> (Gals)X " 47 <br /> — a t'f Gals 6 16 6 <br /> 1 Case Volume Specified Volumes Calculated 'V olume 3' 0;7 Other raditss2 D 163 <br /> Time Temp (°F) pH Cond Turbidit-,r Gals Removed Observations <br /> I <br /> Did well dewater? ti-es No Gallons actually evacuated , j— <br /> Sampling Time "` Samplmc, Date I - I <br /> Sample Z D Laboratoryy <br /> Analyzed for TPH-G BTEX MTBE TPl -D Other <br /> Equipment Blank T D n Time Duplicate I D <br /> Arialyzed for TPH-G BTEX MTBE TPH-D Other <br /> D n (if ro-j'rl) .I re-purge m^�L Post-purge 7��L <br /> * QE-P (i f req'd) Pre-nurse MVII Past-pur4e mV <br /> Maine Tech Services, Inc. 1680 Rogers Ave., San .dose, CA 95112 (4 58) 513-0555 <br />