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MONITORING WELL SERVICES DATE: ��S- / g� POLY TUBING: INVOICE: DRUMS DLVRD: CLIENT : FIELD TECH: MILEAGE: FACILITY: Uso-o/ S.S. ,al ---------------r4t c`+ gp___+_-_ .. - -♦__-rL_O___+-__..`_, rr ____r_--_-4 WELL NO. + + - l , TIRE----------------+-- 9.'------ 3'7 --+--------_r WATER DEPTH:- FT ; 9 � ; `�•/3 ; + + , L g 8 , WELL DEPTH: FT ; + • WELL DIAMETER: IN 4 _r_____r_______r____ w WELL VOLUME: GAL----------------------- SHEEN PRESENCE: � --� ----; ---------;--NO PROD THICKNESS: FT _-----�--�-----�----------i + e , --------------------f---------- ----------+----------+-^------- -- ---------- FIELD SAMPLE COLOR: ♦ G�t='----+-- + + -------------------- -- G CI - 1 c_ le - ♦-- lsy--- +-- l ^r-- ++, --^__---_ ; f PURGE: i i --------------------+----------+----------+----------+----------t----------i DEVELOP: ; 1 i --------------------+----------+----------+----------+----------+----------� SAMPLE: --------------------+----------+----------+----------+----------+----------i METHOD: i I --------------------+----------f----------+----------+----------+----------i PURGE RATE: (gpm) ; ; + + It - ---+----------;----------+----------+--------------------- WATER VOLUME- GALIt 1. i --------------------+----------f----------+----------+----------+----------i TURBIDITY : NTU ; 1. ------- ----------+----------i --------------------� -------- PURGED COLOR-PURGED-PRODUCT. -GAL --------+--------_ +-r_-_--r__;__-_ -_____f---------_i - -----+----------+--------- ----------+---------- ----------4 PURGE SEQUENCE: + + 4k ' -------------------t----------+----------t----------i------ -- ♦ ---------+ PROD_ DECT. METHOD: ; 1. + + + - --------------------+----------+---------------------4 ---------♦----------i COMMENTS: o $uru