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WELL MONITORING DATA SHEET <br /> Project # _ tA Client d/f - i , a <br /> Samplei - Start Date <br /> Well I D _ Well Diameter C2-,) 3 4 5 8 <br /> Total Well Depth • Depth to Water ID- 4 .51* <br /> Befot e After Befot e After <br /> Depth to Free Pi oduct Thickness of Free Product (feet) <br /> Refeienced to PVC Grade D O Meter (if req'd) Ysl HACH <br /> Purge Method Sampling Method Bailer <br /> Bailer Waters tsposable Bail <br /> (i is osabl Peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Electric Submersible Other Other <br /> Well Diameter Multiplier Well Diameter Multiplier <br /> I" 004 6' 067 <br /> (Gals ),Y <br /> 3. Gals 0 16 6" 147 <br /> I Case Volume Specified Volumes Calculated Volume 037 Other radius'•0 163 <br /> Time Temp (°F) pH Cond Turbidity Gals Removed Observations <br /> 1° 73 •f 7 3 <br /> r <br /> 77 3 Z <br /> `sal b 7 a 7 <br /> Did well dewater? Yes CpNo) Gallons actually evacuated 3 <br /> Sampling Time Sampling Date <br /> o . <br /> Sample I D {� _ k Labotatoiv G <br /> Analyzed forTP -G BTEC MT TPH-D Other OAC e ; t <br /> Equipment Blank I D @ F3Duplicate I D <br /> Analyzed for TPH-G BTEX MTBE TPH-D Othei <br /> AW O (i ieq'd) Pre-purge m2/L Post-purge I <br /> ORP (:fteq'd) "re-purge mV Post-purge inV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />