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SHELL WELL MONITORING DATA SHEET <br /> Project it. oR� _ WIC #: ao <br /> -y o <br /> Sampler: Date: <br /> Well I D :��_ Well Diameter: 2 3 6 S <br /> Total Well Depth "3 '7- -35 Depth to Water: <br /> Depth to Free Product: Thickness of Free Product (feet): <br /> Referenced to- Vc Grade D O. Meter (if req'd): Ysl HACH <br /> Well nameit kiP�JSI Well aameter _lultjplier ' <br /> 2" 016 5" 102 <br /> 3" 037 6" 147 <br /> 4" 065 other rad)us'*0 163 <br /> Purge Method Bailer Samphng Method Bailer A <br /> Middleburg Extraction Port <br /> Electric Submersibles- Other <br /> Extraction Pump <br /> Other <br /> (0-C) X = Gals <br /> 1 Case Volume(Gals) Specified Volumes Calculated Volume <br /> Time Temp ( F) pH Cond Turbidity Gals Removed Observations <br /> 1P0 C?. -7 0 c) <br /> Did well dewater? Yes No Gallons actually evacuated- <br /> Sampling Time: Sampling Date: <br /> Sample I D : Laboratory• Sequrnarosb <br /> Analyzed for- x-G B E TPH-D Other <br /> uipment Blank I D.: @ ®� Duplicate I D.: <br /> alyzed for: TPH-G BTEX MTBE TPH-D Other <br /> D.O. (if req'd)• Pre-purge / , -6/ Post-purge <br />