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SHELL WELL MONITORING DATA SHEET <br /> BTS # ver/� Site. <br /> rnpler Date: <br /> Well I D. f rS-z Well Diameter 2 3 4 0 8 <br /> .r . c, . <br /> Total Well Depth (TD)• Depth to Water (DTW) 12 44,c— <br /> Depth to Free Product- Thickness of Free Product (feet): <br /> Referenced to- Pvc Grade D O Meter (if req'd) YSI HACH <br /> DTW with 80% Recharge [(Height of Water Column x 0.20) + DTW] ---- <br /> Purge Method Bailer Waterra Sampling Method Bailer <br /> Disposable Baer Peris c Disposable Bailer <br /> Positive*r Displacement Extrac p Pump Extraction Port,/ <br /> E1�e Submersible Other / Dedicated Tubmg <br /> Other <br /> Well D,arneter Multu3ber _ Well Diameter__ Multinher <br /> V 004 4" 065 <br /> (Gals)X "- — Gals 016 6" 147 <br /> 1 Case Volume S ecLfied Volumes Calculated Volume 3" 037 other radms2*0 163 <br /> Cond Turbidity <br /> Time Temp (°F) pH (m5 or(g) (NTUs) Gals Removed Observations <br /> ,5 3 f5 0 /cf/3 <br /> Did well dewater? Yes No Gallons actually evacuated <br /> Sampling Date. ;y Sampling Time; . Depth to Water <br /> Sample I D : Sz Laboratory: SA Other <br /> Analyzed for. TPH-G BTEX 6TBE TPH-D Oxygenates (5) Other <br /> EB I D (if applicable) Duplicate I D (if applicable): <br /> Analyzed for. TPH-G BTEX MTBE TPH-D Oxygenates (5) Other <br /> DO (if req'd) Pre-purge mg/L Post-purge mg/L <br /> 'p7R 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 />