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Pej <br /> WELL r DATA SHEET <br /> Project # � � �Zv Client G f , i <br /> Sampler: Start Date �nY <br /> Well I D /14W Well Diameter. (circle one) <E�3 4 6 <br /> Total Well Depth Depth to Water. <br /> Before z O q After Before q, Q —7 After <br /> Depth to Free Product Thickness of Free Product (feet) - <br /> Measures:sents referenced to Grade Other <br /> Well Diameter VCF Well�*Diameter 2C61 <br /> V, 0 04 61t <br /> ,347 <br /> ;; 4 08 <br /> 4;; 0 65 12" 5 84s <br /> 5 l 02 16" <br /> Z L f x f O z • C) <br /> 1 Case Volume Specified Volumes - gallons <br /> Purging Bailer Sa--?ling Bailer <br /> Disposable Bai r Disposable Bailer <br /> M..ddleburg- Extraction Port <br /> Electric Submersible Other <br /> Extraction Pump <br /> Other <br /> TIME TEMP, pH COND TURBIDITY VOLUME OBSERVATIONS <br /> (F) REMOVED <br /> 2 -7 � za� <br /> -e(p®o 7Zoo (a10 <br /> iq Y7 CQzO � g o2> 7Zoo IZ, <br /> +4 40 1 - z'Koa 7Z(:b S- <br /> Did Well DeWater? If yes, gals. Gallons Actually Evacuated- <br /> Sa=pling Time- Sampling Date <br /> Sample I D. Laboratory <br /> Analyzed for: TPH-G BTEX TPH-D OTHER: <br /> (Circle) <br /> Duplicate I D Cleaning Blank I D. : <br /> Analyzed for: TPH-G BTEX TPH-D OTHER: <br /> (C-%rcle) <br />