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a <br /> ` SHELL WELL MONITORING DATA SHEET <br /> BTS #: Site: <br /> �pler: Date: d } <br /> Well I.D.: j Well Diameter: 2 3 4 S S <br /> Total Well Depth (TD): Depth to Water (DTW): �► <br /> Depth to Free Product: <br /> Thickness of Free Product (feet): <br /> Referenced to: i'vc Gmde D.O. Meter(if req'd): ysr HAM <br /> DTW with 80% Recharge [(Height of Water Column x 0.20)+DTW]: , Z <br /> Purge Method: Bailer watem Sampling Method: Baiter ✓ <br /> DiapombteBailer Peristaltic Disposable Bailer' <br /> Middleburg t` Extraction Pump Extraction Port <br /> Electric Submersible Other ._ Dedicated Tubing <br /> Other: <br /> Well tQ i d21alne <br /> r• aaa 4* nss <br /> (Gala)X _Gals. x" °.f6 V 147 <br /> 1 Case Volume $ eciFed Volumes Calculated Volume 3" 0.17 +ate nxffus�'0163 <br /> Con& Turbidity <br /> Time Temp(°F) pH (MS }tS)D OMs) Gals. Removed Observations <br /> JaCe <br /> ,D 7 l 7/�o <br /> Me <br /> t 71w� <br /> Did well dewater? Yes No Gallons actually evacuated: cl <br /> Sampling Date: /! Sampling Time: .7 3 Depth to Water. 3.r. Co's <br /> Sample I.D.: Laboratory: Kr SPL Other <br /> 'rri-k; E rbc MTBE H-D Other: <br /> S h44 a <br /> EB I.D. (if applicable): ,k„ Duplicate Z.D. (if applicable): <br /> Analyzed for: TPF-0 BTEX MTBE T H--D Other. . <br /> D.O. (ifreq'd): Pre-purge: `m/r. Post-purge: ffW/L <br /> P. (if req'd): Pre-purge: mV Post-purge: MV <br /> Blaine Tech Services, Inc. i680 Rogers Ave., San Jose, CA 95112 (800) 545-7558 <br />