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( f <br /> SHELL WELL MONITORING DATA SHEET <br /> BTS #. oSite: <br /> Sampler: ,G� Date: <br /> Wel] T.D.: / Well'Diameter: 2 3 6 3 <br /> Total Well Depth (TD): ,Z/, r7 Depth to Water (DTW): �r yz <br /> De th fo Free-Product: <br /> P Tluckness=af Free Product-(feefi): <br /> Referenced to: Grade D.O. Meter (if regrd): Ysl HACH <br /> DTW with 80% Recharge [(Height of Water Column x 0.20)+=: 2,9_1 <br /> Purge Method- Beller waterra Sampling Method Bader <br /> 7.3G <br /> Disposable Bailer Peristaltic Disposable Sailer <br /> Middleburg Extraction Pump Extraction Port <br /> Electric Submersib*/ Other Dedicated Tubing <br /> Other <br /> II Dio e t Ila __WCII01n er 161111tiplicE <br /> C13 A" 065 <br /> ' (Gals)X _ .� _ / Gals. 7" 016 6" 147 <br /> 1 Case Volume S eciFed Volumes Calculated Volume 3" 0.37 DOW radius;'0 163 <br /> Coad, Turbidity <br /> Time Temp (°F) pH (MS o �5 [NTUs) Gals. Removed Observations <br /> 11q9 fir,7 _3 ,V3 93 <br /> 1 22 i 6,, 190 <br /> Did well dewater7 Yes Gallons actually evacuated: ; <br /> Sampling Date.,///,,/,-;r Sampling Time: Tia Depth to Water:,,,o <br /> Sample I.D.: Laboratory: 12I SPL Other <br /> Analyzed for: ��T TPH-D Other. <br /> EB I.D. (if applicable): `r -n= Duplicate I.D. (if applicable): <br /> 4nalyzed for: TPH-G eTKX MTBE TPH-D Other: <br /> D O (if req'd): Pre-purge- nV/L Post-purge �g/L <br /> D R.P. (if req'd): Pre-purge. mV Post-purge mV <br /> 31aine Tech Services, Inc" 1680 Rogers Ave", San Jose, CA 96112 (800) 545-7558 <br />