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N <br />SHELL WELL MONITORING DATA SHEET <br />TS # ` D <br />Site <br />Sampler- <br />Date gAf/C) `1 <br />Well 1 D <br />Well Diameter 2 3 6 8 <br />Total Wel] Depth (TD)_ - <br />Depth to Watei (DTW) 3 <br />Depth to Free Product <br />Thickness of Free Product (feet) <br />Referenced to QED Grade <br />DO Meter (if req`d) YSI HACH <br />DTW with 80% Recharge [(Height of Water Column x 0 20) + DTW] 08 <br />Purge Method Saler <br />Disposable Bailer <br />Positive Air Displacement <br />>Skctne Submersible <br />W aterra <br />Peristaltic <br />E -,traction Pump <br />Other <br />i r--, (Gals ) X _ _ c7 Gals <br />I Case Volume Speci_ zed Volumes Calculated Volume <br />Sampling Mclhod Faller <br />Disposable Bailcr <br />Extraction Port <br />Dedicated Tubing <br />Other - <br />Well Domeier. Multi leer Well Diameter mt1111RIFtr <br />1" 004 4" 065 <br />2" 0 1 G' 147 <br />3" 037 4il,er radius'' 0 163 <br />Time <br />Temp (°F) <br />pH <br />Cond <br />(MS a Ft <br />Turbidity <br />(NTUs) <br />Gals Removed <br />Observations <br />72 <br />f8 <br />.� <br />/Z U <br />NZ � <br />7D• Z <br />! 6 <br />/�� <br />_'q/ <br />14;3 Z <br />7a <br />7 `1 <br />/ �, <br />� <br />Did well dewater? es No Gallons actually evacuated <br />Sampling Date Sampling Time: Its Depth to Water �3 <br />Sample I D y Laboratory- sT SPL Other <br />Analyzed for �,v WOE Trll_D xY ; Qc D Otliei <br />EB I D (If applicable) @ rin,z Duplicate I D (If applicable) <br />Analyzed for TPFi G aTEK aiTUE TPH D Oiy s 12 DCA EDB Oilier <br />D O (if req'd) Pre -purge <br />mb/t, <br />Post -purge <br />tnb/L <br />O R P (if regtd) Pre -purge <br />mV <br />Post-purge <br />131V <br />Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95'1'12 (800) 545-7558 <br />