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SHELL NVELL MONITORING DA fA SHEET <br /> z <br /> Project #' c.3 11,2-Z- tJ�Z- WICa-5 <br /> Sampler: Qom/ Date Sampled: <br /> Well I D. Well Diameter: (circle one) 2 3 4 6 <br /> Total Well Depth. Depth to Water: <br /> Before 3 8 ��After Before-27,75After <br /> Depth to Free !Product- Thickness of Free Product (feet) : <br /> Measurements referenced to Grade Other -- <br /> t <br /> C-7 <br /> .•u [.l <br /> 7 S x <br /> 1 Case Vole Specaftied Volumes = gallons <br /> Purging Bailer ❑ Sampling: Bailer ,imr <br /> M:.c.clehurg ❑ Middleburg ❑ <br /> Electr_c Submersible Electric Subasersible ❑ <br /> Sucticn Pump D Suction Pump ❑ <br /> Type of Installed Pum Installed Pump 0 <br /> TIME =2 pH COND TURBIDITY: VOLUME OBSERVATIONS: <br /> (F) REMOVED: <br /> L <br /> Did Well Devater? � If yes, gals. Gallons Actually Evacuated: �, v <br /> S ampl ting Time: /ffo <br /> I <br /> Saa�le I D. /'1A1 - Laboratory: C <br /> Analyzed for: <br /> Duplicate I D ' Cleaning Blank I D. : <br /> Analyzed for: <br /> Shipping Notations: <br /> Additional Notations: <br />