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i <br /> WELL MONITORING DATA SHEET <br /> Project #• Z Client <br /> r <br /> ,i Sampler- _T Start Date <br /> Well I D w _ (3 WeII Diameter 2 3 6 8 <br /> Total Well Depth �e'? B-f-- Depth to Water <br /> Before After Before After <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to �G Grade D O Meter (if req'd) Ysl HACH <br /> Purge Method- <br /> Sampling Method Sailer✓ <br /> Bailer Waterra Disposable Bailer <br /> Disposable Bailer Peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Electric Submersible Other Other <br /> Well Diameter Multi licr Well Dcameter 'vlultilicr <br /> la r� 4 1. 004 4' 065 <br /> �O 3 (Gals )X _ �T. ! Gals Z. 0 16 6" 147 <br /> 1 Case Volume Specified Volumes Calculated Volume 3" 037 Other radius2'0 163 <br /> Time Temp (°F) pH Cond Turbidity Gals Removed Observations <br /> f <br /> CsS. /Z 5,3 ( Zad /8,r <br /> 059 61 9 5- 7 /-77Z is <br /> ii <br /> 70. 0 /z 5-z <br /> / y q-'Yo <br /> Did well dewater? Yesloo Gallons actually evacuated- 5 <br /> Sampling Time /Zv Sampling Date <br /> 5-U <br /> Sample I D . �Ca—13 Laboratory <br /> Analyzed for' H-G BTEX TBE TPH-D Other aD Z- <br /> Equipment Blank I D 7uae Duplicate I D <br /> Analyzed for- TPH-G BTEX MTBE TPH-D Other <br /> DO (if req'd) Pre-ourge mg/L Post-purge T2 L <br /> ORP (if read) Pre-uurQe mV POSE-�ur�p mV <br /> Shaine Tech Services. Inc. '1650 Rogers Ave.. ?.ire .n!ae. <br />