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WELL MONITORING DATA SHEET <br /> Project #• O 0_ ?3 7-C Client. Qj <br /> Sampler t(t:�eS S StartDate <br /> Well I D 1� ry-1 L j ] Well Diameter: 2 3 ® 6 8 <br /> Total Well Depth �k 5- Depth to Water 5- - <br /> Before After Before. After <br /> Depth to Free Product- Thickness of Free Product (feet) <br /> Referenced to V Grade DO Meter (if req'd) YSI HACH <br /> Purge Method Sampling Method Bailer <br /> Bailer Waters Disposable Bailer <br /> Disposable Bailereristaltic Extraction Port <br /> Middleburg /Extraction Pump Dedicated Tubing <br /> Electric Submersiblether Other <br /> Well Diameter Multinher Well Diameter Multioher <br /> — i" 004 4^ 065 <br /> ' Gals 2^ 016 6^ 147 <br /> (Ga1s)X <br /> 1 Case Volume ipecifid Volumes Calculated Volume 3^ 037 Other radius''O 163 <br /> =Time Temp (°F) pH Cond Turbidity Gals Removed Observations <br /> P-v <br /> Did well dewater? Yes ®o Gallons actually evacuated: ycj <br /> t <br /> Sampling Time- t q rid Sampling Date. -4+ _�c9- v_c�- <br /> Sample I D : Pt rry - Laboratory PC.- ce <br /> Analyzed for (H-G fQ iB TPH-D Other <br /> Equipment Blank I D • @ Tme Duplicate I D. <br /> Analyzed for TPH-G BTEX MT13E TPH-D Other <br /> 4 (if req'd) Pre-purge mg/L Post-purge mg/L <br /> ORP (if req'd) Pre-purge mV Post-purge mV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />