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v i <br /> SHELL WELL MONITORING DATA SBEET <br /> ro�ec # aZ WIC #: D y CSZ <br /> Samp <br /> Date z 5 <br /> Well I.D.: � Well Diameter: 3 4 6 S <br /> Total Well Depth: 3 21, C� Depth to Water: <br /> Depth to Free Product: Thickness of Free Product (feet): <br /> Referenced to: C Grade EDO Meter (if req'd)• YSl HACH <br /> Well Diameter multtnller Well Diameter mwuylier <br /> Z" 016 S" t 02 <br /> 3" 037 6" 147 <br /> 4" 065 Other rad=2*0 163 <br /> Purge Method rzatter Sampling Method <br /> Middleburg ' Extraction Port <br /> Electric Submersible Other- <br /> Extraction Pump <br /> Other• <br /> X = Gals <br /> 1 Case Volume(Gals) Specific Volumes Calculated Volume <br /> Time Temp (°F) pH Co jnd Turbidity Gals Removed Observations <br /> I � <br /> 2—C) (� <br /> r• -ff <br /> Did well dewater? ' yes No Gallons actually evacuated- <br /> Sampling Time Sampling Date: <br /> Sample 1 D : ij Laboratory e U �a Crosby <br /> Analvzed for: TFH-G BTEx 1~ _„ nrh,-, <br /> Equipment Blank I.D.. r=e Duplicate I D <br /> Analyzed for- TPH-G BMX MT13E TPH-D Other <br /> D 0 (if req'd): Pre-purge 1' / Post-purge til <br />