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WELL 'MONITORING TSA FA SHEET <br /> Project f� Claent <br /> Sampler Start Date <br /> Well I D �� r Well Diameter (ca-rcle one) C2i 3 4 6 <br /> Total Well Depth* Depth to Water. <br /> Before f "7 z After Before �� p 7 After <br /> Depth to Free Product: Thickness of Free Product (feet) <br /> Measurements referenced to- Grade Other- <br /> Well Diameter VCF Well Diameter VCF <br /> 1" 0.04 6" 1 47 <br /> 0 16 811 <br /> 2 61 <br /> 3.1 .. <br /> 4" 0.65 22" 5 B7 <br /> 5" 1 02 16" 10 43 <br /> I ?J", X - ! I-i� <br /> 1 Case Volv-me Specified Volumes = gallons <br /> Purging Bailer Sampling: nailer---- <br /> Disposable Bailer Disposable Bailer <br /> • Msddleburg Extraction Port <br /> Electric Submersible Other <br /> Extraction Pu_z=_ <br /> Other <br /> TIME TERP pH COND. TURBIDITY: VOLUME OBSERVATIONS: <br /> (F) REMOVED: <br /> l �l l �� •� `7 3 Z Z 00 -7 Z-0 Z <br /> 7. 3 eoc <br /> 15 -2 6 -� Z zed n zoo S <br /> Did Well Dewater' I If yes, gals. Gallons Actually Evacuated. <br /> Sampling Time: is 5--) Sampling Date: —z �_ { <br /> Sample I.D. : r r Laboratory: }�� # <br /> Analyzed for. T� PH-�(!t <br /> TPH-D OTHER: <br />• (C-Ircle) {`// <br /> Duplicate I D. : Cleaning Blank I.D. : <br /> Analyzed for: TPH-G BTEX TPR-D OTHER: <br /> (Czzcle) <br />