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MONITORING wF'.L GAUGING FORM <br /> Site Name r o 6,9 IYO Location fDate <br /> Project Number Technician f o <br /> Total Well Depth to Depth to Product TWellhead <br /> Well ID Depth (ft) Product(ft) Water(ft) Thickness D O Heading ime Locked and <br /> ft Sampled <br /> Secured? Comments <br /> g � 1y , <br /> n3la Sub xJ <br /> Note Measure water and product levels from the notch in top of well casing <br /> c lformslWelf Gauging Form <br /> revised 9120/99 <br />