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SHELL WELL MO1rlITOUNG DATA SHEET <br /> BTS : Site: <br /> Sampler lfi Date: <br /> r� c� <br /> Well I D . Well Diameter- 2 3 4G 8 <br /> Total Well Depth. Depth to Water: g E;3r <br /> Depth to Free Product Thickness of Free Product (feet)• <br /> Referenced to PVC Grade +D.4 Meter (if req'd) Ysl HACH <br /> D1 W with 80% Recharge [(Height of Water Column x 017 +DTVV] <br /> Purge Method Bailer Waterra Sampling Method Bailer <br /> Disposable Bailer Peristaltic Disposable Bailer <br /> Middleburg Extraction Pump Extraction Port✓ <br /> Electric Submersible Other Dedicated Tubing <br /> Other <br /> Wtl} iameitr -Multmller Well Djameter _ multmiier <br /> I" 004 4" 065 <br /> (Gals)X ---- Gals Z" 0 16 6. 147 <br /> 1 Case Volume Specified Volumes Calculated Volume 3" 037 Other radius''Q 163 <br /> Temp Cond. Turbidity <br /> Time (` pH (mS o AS (NTUs) Gals Removed Observation <br /> i <br /> Did well dewater? Yes No Gallons actually evacuated �— <br /> Sampling Date Sampling Tune, 7, � Depth to Water <br /> Sam le I D : <br /> p her <br /> / ,/�r/� ��, Laboratory: l�� s�L ot <br /> Analyzed for: =-d zygen Other � <br /> fnn� tctt&t 1 <br /> EB I.D (if applicable): @ rm� Duplicate I D (if applicable)• <br /> Analyzed for• TPH-g BTEX MTBE THP-d ozygenates other <br /> (if req'd) Pre-purge mg/L Post-purge ' SIL <br /> OR P (if req'd): Pre-purge mV l?05t-puFb6' mV <br />