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SHELL WELL MONITORING DATA SHEET <br />Pro3ect #:I <br />V <br />Nis # <br />Sampler, <br />G(�s <br />Date Sampled: <br />� l <br />Well I D : <br />X (- <br />W <br />Well Diameter: <br />(circle one/) 2 3 [1j 6 <br />Total well <br />Before `�G <br />Depth. <br />After <br />Depth to Water: <br />Before <br />After <br />Depth to Free Product: <br />Thickness of Free Product (feet): <br />Measurements referenced to <br />vt' Grade <br />Other -- <br />�s r. <br />a ...t <br />c.c.....r(a1 <br />r • . 4 <br />• u '=•1 <br />Ca <br />C .f <br />s � a <br />e n <br />X <br />1 Case Volume Specif Med Volumes - gallons <br />Purgi.-; Bailer ❑ Sampling Baile <br />*Ssddleburg ❑ Yiiddl urg ❑ <br />Electric Submersible Electric Submersible 0 <br />Suction Pump 'J' Suction Pump 0 <br />Type cf Installed Pump Installed Pump <br />TM.V-V TEN.P <br />( ) <br />pH COND. <br />TM( ,BIDITY: VOLUME OBSERVATIONS: <br />RZMOVED <br />� -2- 6o 0 <br />(�c% / S 17Z -Ly -- <br />Did well Dewater? <br />(�/ If yes, gals. <br />Gallons Actually Evacuated: -� <br />Sampling T,—: <br />Sample I D.. i( <br />/ ,f <br />j//� � Laboratory: <br />Analyzed for: <br />J 4 IqFFY <br />Duplicate I D. <br />�. r Cleaning Blank I D - <br />Analyzed for: <br />Shipps.ng Notations: <br />Adda.tional Notations: <br />