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SHELL WELL MONITORING DATA SHEET <br /> TS # Site <br /> Sampler T3. (3rnt. A Date tt� r oK <br /> Well I D WlW .'7 Well Diameter 2 3 (, 6 8 <br /> Total Well Depth (TD) Depth to Water (DTW) a . 5 6 <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to Pvc Gracie ID O Meter (if req'd) Y51 HACH <br /> DTW wtth SO% Recharge [(Height of Watei Colrainn x O 2O) + DTW] 1 2. 3 5 <br /> Purge Method Bailer Waterra Sampling Method al r <br /> Disposable Bailer Peristaltic Disposable Bailer <br /> Positive Air Displacement Ext action Pump E\traction Port <br /> Electric Submersible✓ Other Dedicated Tubing <br /> Other <br /> Well DiImeier Alulnoher Well Diameter tvtulupher <br /> 1" 004 4' 065 <br /> • (Gals )X �J = Z-7 .7- Gals '-" 0 In U 1 47 <br /> 1 Case Volume Specified Volumes Calculated Volume 3 037 013cr radiu<''0 163 <br /> Cored Turbidity <br /> Time Tetnp (°F) pH (m5 0 }t ) (N'IUs) Gals Removed Observations <br /> Did well dewater? Yes N Gallons actually evacuated 1? _?. Z <br /> Sampling Date to(4[sK Sampling Time = f jr Depth to Water _ h <br /> Sample I D Laboratory (�O SPL Other <br /> Analyzed for Trii c aTE\ ,TBC TI'}I D ozys 1 z DCA [DO Other <br /> EB I D (if applicable) `I T;m, Duplicate I D (if applicable) <br /> Analyzed for 71111 c aTet KITBE n,H D O.ys i,DCA E:DO Other <br /> D O (if req'd) Pre-purge mg/L Post-purge �nb/t_ <br /> *ER�ff�req�d) Pre-purge mV Post-purge rnV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (800) 545-7558 <br />