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SHELL WELL MONITORING DATA SHEET >� <br /> BTS #: : Site: t <br /> Sampler. yv .,,,L s Date • �'..a`` <br /> Well I.D.: S . O's, Well Diameter �D 3 4 6 8 <br /> - Total-Well-Depth_(TD):.�.,_C 3,_�!1-:!- Depth-to-Water (DTI)A)•5 _--- <br /> Depth to Free Product Thickness of Free Product (feet)- <br /> Referenced to: c Grade D.O. Meter (if req'd) YSl HACH <br /> DTW with 80% Recharge [(Height of Water Column x 0.20) + DTW]- -5 (� <br /> Purge Method—Bailer Waters 5amplmg Method_ Ballery— <br /> •t€ Disposable Bailer -- Peristaltic Disposable Bailer <br /> Positive Air Displacement Extraction Pump Extraction Port <br /> Electric Submersible Other Dedicated Tubing <br /> Other <br /> Well Diatneler Multiplier Well Dearne r Multirflier <br /> 1" 004 4" 065 <br /> ►� (Gals)X = s Gals 2" 016 6^ 147 <br /> 1 Case Volume Spec i fied Volumes Calculated Volume 3" 037 Other radio?'0 163 <br /> Cond. Turbidity <br /> Time Temp ( F) pH (mS or d� (NTUs) Gals Removed Observati ris <br /> o t <br /> d <br /> Did well dewater? Yes No Gallons actually evacuated. - <br /> Sampling Date. s• .-b Sampling Time- kogb Depth to Water- <br /> Sample I D.: S Laboratory: other <br /> -lD t <br /> Analyzed for: PH- MTBE TPH-D xygenates(5 Other <br /> EB I.D. (if applicable)• Duplicate I D. (if applicable)• <br /> Analyzed for. TPH-G_ BTEX MTBE TPH-D Oxygenates (5) Other - - -- -DO (if req'd) Pre-purge rn&/t. Post-purge- M L <br /> O R P. (if req'd) Pre-purge mV Post-purge. mV <br /> Blaine Tech Services, Inc, 1680 Rogers Ave., San Jose, CA 95112 (800) 545-7558 <br />