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SHELL WELL MONITORING DATA SHEET <br /> BTS #. Site: �+ <br /> Sampler- ,� Date- <br /> Well <br /> ate- <br /> Well I D : <br /> Well Diameter 2 3 ® G 8 <br /> Total Well Depth (TD): Depth to Water (DT <br /> W) 91.-75 <br /> Depth to Free Product Thlclaless of Free Product (feet)- <br /> Referenced to. c Grade D.O. Meter (if req'd) vsl HACH <br /> DTW with 80% Recharge [(Height of Water Column x 0 20) + DTW]: o <br /> Purge Method Bailer Waters Sampling Method Atatler <br /> Disposable Bailer Peristaltic Disposable Bailer <br /> Positive Air 133spIacement Extraction Pump Extraction Port <br /> jl,Etectnc Submersible Otber <br /> Dedicated Tubing <br /> other <br /> Well Diameter Mulunher WO Diame[trM_�u lhntier <br /> 1" 004 4' 065 <br /> - . 0- (Gals)X — D Gals 2" 0 16 6" 147 <br /> t Case Volume 5 ecified Volumes Calculated Volume J. 037 Other radtus200163 <br /> Cond Turbidity <br /> Time Temp (°F) pH (MS o µ ) (NTUS) Gals Removed Observations <br /> 1k ,Z /y <br /> Z4 7• —3 <br /> —3 _ --- <br /> Did well dewater? Yes o Gallons actually evacuated* <br /> .o <br /> Sampling Date: a Sampling Time: f 3 z o Depth to Water. <br /> 9 <br /> Sample I D . Laboratory <9D other <br /> Analyzed for: H-G 1rX TPx-D Oxygenates (5) Other <br /> EBI D (if applicable) Q Tante Duplicate I.D. (if applicable): <br /> Analyzed for TPH-G BTEX MTBE TPH-D Oxygenates (5) Other <br /> D.O (if req'd): Pre-purge mglL Post-purge "'�/� <br /> OR P (if req'd) Pre-purge mV Post-purge mV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave,, San Jose, CA 95112 (800) 545-7558 <br />