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SHELL WELL MONITORING DATA SHEET <br /> BTS # Site <br /> Sampler Date. —d <br /> Well I.D J'A Well Diameter 4�1> 3 4 6 8 <br /> Total Well Depth. E Depth to Water- <br /> Depth to Free Product. Thickness of Free Product(feet) <br /> Referenced to V Gradc D C. Meter (if req'd) YS1 HACH <br /> DTW with 80% Recharge [(Height of Water Column x 0 20) +DTW)- <br /> Purge Method Bailer �— Waterra Sampling Method Bailer r <br /> Disposable Bader Peristaltic Disposable Bailer <br /> Middleburg Bxtraction Pump Extraction Port <br /> Electric Submersible Other Dedicated Tubing <br /> Other <br /> Welt Diameter ui ►er Well Diameter Mult3i~ <br /> 1" 004 4' 065 <br /> X J = 7 M9 Gals 2. a 16 6" 147 <br /> t Case Volume Specified Volumes Calculated.Volume 3' 031 Other radius=•0 163 <br /> Temp Coud Turbidity <br /> Time (°F) pH (mS ora oms) Gals Removed Observations <br /> 157--1 ­ff q-1 -7.b 1'Y1 L -21066 k . 3 <br /> Sao ?S o (a . *tsGL_", �,) t6616 Z.• {� <br /> t <br /> Did well dewater? Yes No Gallons actually evacuated <br /> Sampling Date '?- 16-.csT Sampling Time: 1 3 Depth to Water <br /> Sample I D IM W - S Laboratory: sTL KIFF Other <br /> Analyzed for TPH-g BTEX MTBE THP-d Oxygenates Other <br /> EB I D (if applicable) @ Torm Duplicate I D (if applicable) <br /> Analyzed for TPH-g BTEX MTBE THP-d Oxygenates Other <br /> D Q (if req'd) Pre-purge mg/L Post-purge mg/L <br /> OR P (if req'd) Pre-purge- rnV Post-purge mV <br />