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SHELL NVELL MONITORING DA rA SHEET <br />Prooect #: ��/ ��G , <br />NIC # <br />_ V3 <br />Sampler: C� <br />Date Sampled: <br />/ <br />Well I D /t/i r� <br />Total Well Depth: <br />Before �After <br />Well Di—ter, <br />Depth to Water: <br />Before 3q -3 <br />(circle one) 2 3 ® 6 <br />After + <br />Depth to Free Product <br />Thickness of Free Product (feet) <br />Measurements referenced to: <br />Grade <br />Other -- <br />1 • uaa. CsC..rr .a r.- (♦ C.1) <br />• ta./t a1 <br />4 1111 Cr <br />c a <br />• s a <br />. • i7 <br />• l [7 <br />. X 3 L <br />1 Case Volume Specified Vols -- gallons <br />Purging <br />Bailer ❑ <br />Middleburg ❑ <br />Electric Submersible <br />Suction Pump ❑ <br />Type of Installed Purace <br />Sampling: Bailer <br />Kiddleburg ❑ <br />Electric Submersible ❑ <br />Suction Pum a <br />Installed Pu=p ❑ <br />TLS <br />�FEY.r , pH <br />CCNSD <br />T RBIDITY: <br />VOLII2-M OBSERVATIONS. <br />REMOVED. <br />tt <br />r73, <br />l <br />Did Well <br />Dewater? VIf yes, <br />gals. <br />Gallons <br />Actually Evacuated. 1 <br />Sampling <br />Time: <br />Sample I <br />D.: r ) <br />y� <br />Laboratory: <br />Analyzed <br />for: �� J%� <br />/ !, f� <br />Duplicate I D. <br />Cleaning Blank I <br />D. <br />Analyzed <br />for: <br />Shipping <br />Notations' <br />Additional Notations: <br />