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WELL MONITORING DATA SHEET <br /> FPrect#: o ti Client: <br /> Sampler: Start Date: <br /> Well I.D.: ` Well Diameter: 2 3 ® 6 8 <br /> Total Well Depth: 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): Ysr HACH <br /> Purge Method: Sampling Method: Bailer -7e1 <br /> Bail Wat rra Disposable Bailer <br /> D' usable Bailer Peri taltic Extraction Port <br /> Mid urg Extrac 'on Pump Dedicated Tubing <br /> Elect <br /> ri ubmersible Other Other: <br /> Well Diameter Multiplier Well Diameter Multiplier <br /> 11 0.04 4" 0.65 <br /> (Gals.)X — 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 CF) pH Cond. Turbidity Gals. Removed Observations <br /> I S I S f":s • 1 l'7 C--% s Z <br /> Did well dewater? Yes —N- Gallons actually evacuated: <br /> Sampling Time: 13 2 Sampling Date: <br /> Sample I.D.: Laboratory: <br /> Analyzed for: H-GE MBE TPH-D Other: CsCy3c+�a.+t c by cZe p A G}%"'c <br /> Equipment Blank I.D.: @ rim. Duplicate I.D.: <br /> Analyzed for: TPH-G BTEX MTBE TPH-D Other: v <br /> O. {if req'd): Pre-purge: mg�L (71e 3 .� mg'i. <br /> ORP <br /> if req'd): Pre-purge: mV Post-purge: mV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave.. San ..lose, Ca,951! 2.�.448) 573-0555, <br />