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1 <br /> SELL WELL MONITORING DATA SffEET <br /> BTS # n_ Site <br /> Samplei Date <br /> ZZ1,10A1 <br /> Wet ILD -1 Well Diameter 2 3 ] 6 8 <br /> Total Well Depth (TD) Depth to Watez (DTW) q, <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Refcrenced to. <f"D Grade D O Meter (if req'd) YSt HACH <br /> DTW with 80% Recharge [(Height of Water Column x 0 20) -I- DTW] <br /> Purge Method Hailer Waten-a Sampling Method Aaller <br /> Disposable Bailer Peristaltic Disposable Hailer <br /> Positive Air Displacement Extraction Pump E%traction Port <br /> ,,'-Electric Submersible Other Dedicated Tubing <br /> Other <br /> Well Diameter Multiplier. Well Diameler Mlulliutier <br /> l" 003 i" 065 <br /> Z (Gals )\ S _ _ --Z 4U, Gals z. 016 147 <br /> I Case Volume Specified Volumes Calculated Volume 3" 037 Other radius'1 0 163 <br /> Cond Turbidity <br /> Time Temp(°F) pH (MS o t5 (NTUs) Gals Removed Observations <br /> ca 7 1 _KzgI Ccs S s <br /> 1! 7t ` r 17 <br /> [r7Z 0- '7 7, zs I Z) <br /> Did well dewatei? Yes No Gallons actually evacuated �S J <br /> Samlaling DateU Sampling Time: lv s Depth to Water lo,r <br /> Sample l D Laboratory f_S L SPL Other <br /> Analyzed for 1-1 t Tr_1 hunt � D ri z DCA [1)0 Ot]lel <br /> EP l D (if applicable) @ -rn,c Duplicate I D (if applicable) <br /> Analyzed for TPH G ©TCY hnaE TPII D OxYs I Z DCA I'Da Other <br /> D O (tf req'd) Pie-purge m6IL Post-purge �L <br /> 111P R P (if req'd) Pre-purge mV Post-purge mV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave,, San Jose, CA 95112 (800) 545-7558 <br />