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WELL MONITORING DATA SHEET <br /> Project # p p��� Client P <br /> Sampler C t9,os5 StartDate <br /> Well I D m ( J-- 1- Well Diameter C2:> 3 4 6 S <br /> Total Well Depth j - C] Depth to Water <br /> Before After Before After <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to 62 <br /> Grade D O Meter (if req'd) YS1 HACH <br /> Purge MethodSampling Method Bailer <br /> Bailer Waterra Disposable Bailer <br /> Disposable Bathe Peristaittc Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubmg <br /> Electric Submersible Other Other <br /> Well Diameter Multiplier Well Diameter Multinl= <br /> //�� 1" 004 4" 065 <br /> ra` D {Gals)X _ L? Gals 2" 0 16 6" 1 47 <br /> 1 Case Volume Specifieg Volumes _ Calculated Volume 3" 037 other radiusZ•o 163 <br /> Time Temp (°F) pH Cond Turbidity Gals Removed Observations <br /> 2 -o mor <br /> Djrr <br /> Did well dewater? Yes No Gallons actually evacuated: �� b <br /> Sampling Time- Sampling Date <br /> Sample I D : YY2 Lt.1— �' Laboratory �C,.,- LV° <br /> Analyzed for: L(H-G) KQ1rB TPH-D Other <br /> Equipment Blank I D @ ��� Duplicate I D <br /> Analyzed for TPH-G BTEX MTBE TPH-D Other <br /> O (if req'd) Pre-purge mg/L Post-purge maIL <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 />