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SHELL WELL MONITORING DATA SHEET <br /> TS # Site <br /> Samp le11 : �rlkdc__,�69-1 VS. Preawo& Date <br /> Well I D ce,( � namS Well Diameter 2 3 4 6 8 ! Z <br /> Total Well Depth (TD) - -- Depth to Watet (DTW) I a, <br /> Depth to Free Product Thickness of Fiee Product (feet) <br /> Referenced to Pvc Grade DO Meter (if req'd) YS1 HACK <br /> DTW with 80% Recharge [(Height of Water Column k 0 20) + DTW]- <br /> Purge Method Ball FWaterra Sampling Method Batter <br /> pispos bre Balker staltic Isposabl�Bailer <br /> Posit a Air Displacement E-,tract Pump Extraction Port <br /> Elect c Submersible Other Dedicated Tubing <br /> Other <br /> Well Dtameler MlalttnlM %VL11 Diameter multinlicr <br /> 1. 004 4465 <br /> (Gals )l �� Gals 2. 0 16 G' 147 <br /> 1 Case Volume 5 ectfied VO1LIMeS _ Calculated Volume 3" 037 Other radius'*11163 <br /> Cond Turbidity • <br /> Time Temp (°F) pH (mS or tS (NTUs) Gals Removed Observations <br /> vQ C>C) ��'. S �• 3 7 3 <br /> DO well dewater9 lyes -M Gallons actually evacuated: ----� <br /> Sampling Date to 0A Sampling Time- p al© 5 Depth to Water /g.0i <br /> Sample l DCa ��5 Laboratory M SPL Other <br /> Analyzed for I'H G [STE\ A[rRE Tr11 D Oeys 12 DCA CD8 Other <br /> FB I D (if applicable) @ ,,�,t Duplicate 1.13 (if applicable) <br /> Analyzed for TPH-G BTEX NITDE TVH D Oxy's 1 2 DCA EDS Otlier <br /> D O (if i eq'd) Pre-purge mj' Post-purge m6/L <br /> R P. (tf req d) Pre-purge MV Post-purge mV S <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (800) 545-7558 <br />