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SHELL WELL MONITORING DATA SHEET <br /> pzo3ect #: � � wsc # <br /> Sampler: Date Sampled: �j <br /> Well I.D Well Diameter: (circle one) 2 3 4 5 <br /> Total Well Depth: Depth to Water: <br /> Before I� After Before 5Z,4V After <br /> Depth to Free Product: Thickness of Free Product (feet) : <br /> Measurements referenced to: VC Grade Other <br /> ♦a7Lw.^-'v.r..y 7.—(vcn ti+..21a GT <br /> �.S+ N/a) •w �.:7 • C If <br /> vi.la a' r C ai <br /> X <br /> I Case Volume Specified Volumes = gallons / <br /> Purging. Bailer 0 Sampling. Bailer d <br /> Middleburg o N.iddleburg <br /> Electric Submersible p" Electric Submersible <br /> Suction Pump O Suction Puma <br /> Type of Installed Pump Installed Pu m:+ ❑ <br /> TTI-M EW-7. pH GOND. TURBIDITY: VVOLMIX OBSERVATIONS: <br /> iy /adv 7-4s <br /> /26�2 <br /> Did Well Devater?�(/� if yes, gals. Gallons Actually Evacuated: <br /> Samplz.ng Time:/ rZ <br /> Sample I.D. : ,(��� Laboratory: <br /> Analyzed fo <br /> Duplicate I D. Cleaning Blank Z.D. : <br /> Analyzed for: <br /> Shipp"? Notations: <br /> Additional Notations: <br />