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SHELL WELL MONITORING DA .t A SHEET <br /> Project # : � ) tZZ—� Wxc # Z 3 0 4:sd.- <br /> Sampler: -Z Date Sampled: if r C13 <br /> well I D . M k'-�-<i� well baameter: (circle one) 2 3 6 <br /> Total Well Depth* Depth to Water, <br /> Before After Before M. I I After <br /> Y�ti j <br /> Depth to Free Product: Thickness of Free Product (feet) : <br /> Measurements referenced to Grade Other -- <br /> % a.c.Gros.I. T.a.,(1 G) f. c7 <br /> r 7 <br /> 4 C4 <br /> l� • F rT <br /> Z,Z x 3 �,L <br /> 1 Case VOIL=ue Speclf-ed VolLmes = gallons <br /> Purging: Bailer ❑ Sa=pling: Bailer ❑ <br /> Mid;'eburg a Ma.ddleburg a <br /> lectrxc Sil rszhle ❑ Electric 51'vmers3.bla q <br /> Suct_on Puma ❑ Suctxon Pump ❑ <br /> Type oe Installed Pum Installed Pu=p 0 <br /> TXZ' TZME? pH CCND Ti3'R.HIDITY: VOLUME OBSERVATIONS: <br /> (�) REMOVED: <br /> -7 7z0 v <br /> Did Well Dewater? If yes, gals Gallons Actually Evacuated: <br /> Sampling Tsme. ��S L4-0 <br /> Sau- le I D. : I,� v� - Laboratory: <br /> Analyzed for: U` <br /> Duplicate I D �+ Cleaning Blank I.D. : <br /> Analyzed for: <br /> Shipp=g NotatSona: <br /> Adxtmonal Notations: <br />