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SHELL WELL MONITORING DATA SHEET <br /> BTS # Site <br /> � 3S0 t�� r.�D .Stxacfc <br /> Sampler S«t+ �w�K..� ,� Date _ t� <br /> - 3aa 3 <br /> Well I D �„� _ Well Diameter 2) 3 4 6 g <br /> Total Well Depth q q. 3 IF Depth to Water <br /> Depth to Free Product Thickness of Free Product (feet) <br /> FDTW <br /> eferenced to � Grade D Q Meter (if req'd) vsl HACH <br /> with 80% Recharge [(Height of Water Column x 0 20) + DTW] <br /> Purge Method <Ej@jj�> Waterra Sampling Method livo <br /> Disposable Bailer Peristaltic Disposable Bailer <br /> Middleburg Extraction Pump Extraction Port <br /> Electric Submersible Other Dedicated Tubing <br /> Other <br /> Well Diameter MWisaher e11 Pjanicirr Mu i- <br /> l" <br /> 004 4. 065 <br /> �_. (Gals)X 3 = $. Gals Z. 016 6" 147 <br /> 1 Case Volume Specified Volumes Calculated Volume 3,. 037 other radius' 016 <br /> Temp Cond Turbidity <br /> Tune (°F) pH (mS or IZS� (NTUs) Gals Removed Observations <br /> A z <br /> l "S14 *4 }ruaao '3_ � <br /> 13 <br /> � n ►ZeeL r i- 2e�r.n�� tea % �e � ... <br /> Did well dewater9 yes qqj> Gallons actually evacuated 5, s <br /> Sampling Dater r4 03 5ampling Time YYv Depth to Water <br /> Sample 1 D Mw- 3 Laboratory STD UFF Other <br /> Analyzed for TP - TE MTBE THP-d eixa Other <br /> EB I D (if applicable)- @ rrm Duplicate I D (if applicable) <br /> Analyzed for TPN.g BTEX MTBE THIP-d Oxygenates Other <br /> DO (if req'd) Pre-purge mg/L Post-Purge m$�t <br /> 0 R P (if req'd) Pre-purge rnV Post-purge MV <br />