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i <br /> SHELL WELL l + MON ITORING DATA'SHEET' ,- <br /> �+ p <br /> BTS #: 09 1021- -KgI - r' Site: q' <br /> Sampler: 1 S 1 �' Date: a1Z�d l A! <br /> rt <br /> Well I.D.: {� --� Well Diameter: 02 3 4 6 8 I <br /> Total Well Depth (TD)-: Depth to'Water (DTW): 3 ,�J <br /> Depth to Free Product: .}' . Thickness of Free Product (feet): <br /> Referenced to: V <br /> PC Grade D.O. Meter (if req'd). sl .IiACH j +b <br /> ' i <br /> DTW with 50% Recharge [(Height ofNater Column x 0.20) + DTW]: 3�* <br /> Purge Method: .Bailer Waterra Sampling Method: Bailer>✓ <br /> Disposable Bailer Peristaltic Disposable hailer <br /> "( Positive Air Displacement t-� ExtTaction Pump Extraction Port <br /> Electric Submersible Other A : .l Dedicated Tubing. <br /> Other: <br /> Well Diameter Multiplier Well Dimmer Multi 1P ler <br /> 1" 0. <br /> — ^-yam l,�✓ 04 4" 0.65 I <br /> _(GaIS.) X I ' ✓ Gals. � x 3" U.37 oOther. radl di a, t <br /> I Case Volume S eci#ied Volurnes J Calculated Volume us''U-EG3 , <br /> Cond. Turbidity <br /> Time .. Temp(F) pH (MS or (NTUs) Gals.',Reinoved Observations <br /> lid <br /> OGD ,�� S <br /> 114 7- 3 <br /> k <br /> Did Well deWater? . es No Gallons actually evacuated: <br /> Sampling Date: '.� , Sampling Time: '1 )l rj Depth-to Water: 3�> ,03. <br /> - w <br /> Sample 1.D.: (�J' Sb -!�Laboratoty: CTj SPL Other <br /> Analyzed for: rTPH uTEx 117,E TPII.n Drys 1.2-DCA EnQ Other: <br /> EB I.D. (if applicable): ``'= Time . t Duplicate I.D. (if applicable): <br /> Analyzed for: TPIi-G OTEX hITaE TPIFLQ Ozys:t1 6CA EDD Otl-ier: <br /> D}O (if req'd): Pre-purge: Post-purge: G rngfL , <br /> E.R.P. (if re 'd):_ Pre' -purge:Pre- ur e: . >nV Post-purge: to Vf <br /> Blaine Tech Services, Inc. 1680 Rogers Ave.; San Jose, CA 95112 (800) 545-7558 `" <br />