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w µ <br /> ISP V7ELL T' ONTITO G DATA SHEET <br /> Pl of ect �ol — �— Station r �l <br /> SaMplcl % Date <br /> Well I D fE'f [ - Wel] Diameter � 4 6 S <br /> Total ' iA ell Depth Depth to Wazei <br /> Depth to Flee Pzoduct Thtclmess of Free Product (feet) <br /> Referellcedto vc Grade DQ Mcrel (if req'd) YS] 1AACH <br /> LtIcfl Diameter lviultini:er Well Diameter Multiplier <br /> I` 0 04 4" 065 <br /> 21 0 16 b" 1 47 <br /> 3" 0 37 Other radcus2"0 163 <br /> Pill ge Method Bailer Sampinig Method Bailer <br /> 77 <br /> Disposable Bailer isL-----e Batley <br /> Middlebur- ENtraction Port <br /> Electric Submeisible Other <br /> Extraction Primp <br /> Other <br /> X _ Gals <br /> 1 case Volume (Gals ) Specified Volumes Calculated Volume <br /> Time Temp (°F) pH Cond Gats Removed Observations <br /> Did well dewatel? Yes No Gallons actually evacuated <br /> Sampling Time Sampling Date 7 /°'/ <br /> Sample I D (Blindl Laboratory Pace Other <br /> Analyzed fol T la- >3T> x TPN-D Othei , 0 <br /> mg m�I <br /> D (l r Cl'd) Pie-purge �L POSI-pulge L <br /> FR P (if icq'd) Pie-pular MV Past-pure n1V <br /> Maine Tech Services; Inc. 1680 Popel±s Ave., San Jesse, CA 95112 (408 573-055 <br />