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WELL MONITORING DATA SHEET <br /> Project # - Client <br /> i Sampler , ` V Start Date <br /> S- <br /> Well I D , -� Well Diameter a 4 6 S <br /> Total Well Depth 1 �, Z Depth to Watei , <br /> Befol_e Aftei Before Aftei <br /> Depth to Free Pioduct Thickness of Free Product (feet) <br /> Referenced to vc Grade D O Metei (if req'd) Ysi HACH <br /> Purge Method Sairtpling Method Bailer <br /> Bailer Waters i usable Baffle <br /> rsp sable Bail Peristaltic Extraction Port <br /> Middtebura, Extraction Pump Dedicated Tubing <br /> Electric Subrneisible Other Other <br /> Well Diameter Muitiolter Well Diameter mtilti ip ier <br /> 1' 004 4 00 <br /> i (Gals ) X 3 T = 2. 9 Gals Z 0 16 6 l 47 <br /> t Case Volume Specified Volumes Calculated Volume 3 037 ocfter radius'°o 163 <br /> Time Temp (°F) pH Cotid Tuibidity Gals Removed Observations <br /> 7� ' �Q r � ?XB <br /> SCR �l 7-0 azo ty 1 2 <br /> ? . L7 067 3 <br /> Did well dewater? Yes zo Gallons actually evacuated <br /> Sampling Time Sampling Date <br /> Sample I D y"} L,,l . 3 Laboratory <br /> ta.yam e. <br /> Analyzed forP1f-G BTEC MTB TPH-D Other <br /> 0 y S e��� �s r <br /> Equipment Blank I D @ Ti Duplicate I D <br /> Analyzed for TPH-G BTEX MTBE TPH-D Othei <br /> O (if teq'd) trio <br /> Pte-puttee -/L Past-purge L <br /> ORP (if 1 eq'd) rite-purge mV Post-purge 1nV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />