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(kV , . r► <br /> SHELL WELL MONITORING DATA SHEET <br /> BTS ft 0tg11 t J-- 1YP1 site <br /> Sample] Jo,^nw <br /> Date - t r- d`` • <br /> / � � l <br /> Well I D M iN- Y Well Diameter 2 3 4 6 8 <br /> Total Well Depth (TD) Depth to Water (DTW) <br /> Depth to Free Product Thickness of Fiee Product (feet) <br /> Referenced to PVC Gradc D 4 Meter (if req'd)- vSl MACH <br /> DTW with 50% Rechaige [(Height of Water Column x 0 20) + DTW] 7_,J- 16 <br /> f urge Method Sailer Waterra Samplmi-Method Bailer l <br /> i Disposable Hailer Peristaltic Disposable hailer <br /> Positive Air Displacement Extraction Pump Extraction Port <br /> GlcclricSubmersible/ Otber Dedicated I ubing <br /> Other <br /> Well DrimuLr Nlitltinher Wdl Dvimeter h iAn leer <br /> ! I" 0 01 d" p 6,{Gals )x _ ) � L( Gals 2• o tG u 147 <br /> 1 Case Volume Specified Volume-, Calculated Volume 3" 037 otlser o 163 <br /> Conti Turbidity <br /> Time Temp (°F) pH (MS or 6sp (NTUs) Gals Removed Observations <br /> �CUOI�VO� A <br /> 0 fat <br /> jt'� 2a r <br /> Did well dewater? as No Gallons actually evactiated <br /> Sampling Date 1 t--11--oq Sarnpling Time ) '-t 1 j, Depth to Water Z 2, }� � <br /> Sample I D rtKj Laboratory ST, SPL Othcr <br /> Analyzed for rPEI E,r> NaBE TPH n oYys i Ej eau Otlier <br /> CB I D (if applicable) " ,,n,c Duplicate I D (if applicable) <br /> Analyzed for_ 1M c DTD, nnur ri,ii a axy s E 2 ocn cnii Other <br /> D O (if req'd) Pre-purge Post-purge <br /> OR P (if req'd) PIC-purge mV Post-purge mV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95.112 (800) 545-7558 <br />