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SHELL WELL MONITORING DATA SHEET <br /> STS # ro <br /> S ampler: • <br /> l /l'I 5 Date: � <br /> Well I.D • 1Jl� Well Dimmer: 3 4 6 S <br /> Total Well Depth �p.C�L/ Depth to Water. f <br /> Depth to Free Product ThicImess of Free Product (feet), <br /> Referenced to PVC Grade D O Meter (if req'd). YSl HACK <br /> DTW with 801% Recharge [(Height of Water Column x 0.20) DTW]: ��z <br /> Purge Method Bailer Waters Sampling Method Bader ' <br /> Disposable Bail Peristaltic Disposable Bailer <br /> Middleburg Extraction Pump Extraction Port <br /> E)ectnc Submersible Other Dedicated Tubing <br /> Other <br /> ell D meter ulliL Weh Diameter ultmher <br /> .� F` 0 04 4" 0�5 <br /> / [Gals)x N _ (� •.3 Gals Z0 0 }S 60 147 <br /> 1 Case Volume soccrfed Volumes Calculated Volume 3" 037 Asher radius'*0 163 <br /> Temp Cond Turbidity <br /> Time (°F) pH (MS or !) GMS) Gals Removed Observations • <br /> Did well dewater9 Yes No GaIlons actually evacuated: (n , <br /> Sampling Date o �,3 Sampling Tune, Depth to Water- <br /> Sample I D : v/o Laboratory: Koff SPL Other <br /> Analyzed for- TPH-g BTEX MTB THP_d Oxygenates Other <br /> EB I.D. (if applicable). @ Mme Duplicate I D (d'applicable), <br /> Analyzed for TPH-g ETEC MTBE THP-d Oxygenates Other <br /> D.O. (if req'd) Pre-purge. 'a51Lm$� S <br /> Post-purge <br /> L <br /> O.R P. (if req'd). Pre-purge mV Post-purge <br /> M g <br />