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SHELL WELL MONITORING DATA SHEET <br /> Project #: ��Jwic # <br /> Sampler: v Date S npled: �J �z <br /> Well I D. �� well Deter: (circle one) 2 3 4 5 <br /> Total well Depth: Depth to water. <br /> Before a21 I'5 After Before 3y After <br /> Depth to `Free Product: Thickness of Free Product (feet) : <br /> Measurements referenced to: PVC Grade Other -- <br /> •<L,•. ur..,..a r.n•,(v c-y ti. I i-IN Cr <br /> {7. (r A) ..y,..4 <br /> c u <br /> [ x <br /> 1 Case Volume Specified Volumes = gallons <br /> Purg_ng. Bailer t3 Sampl=g Bailer <br /> Miodleburg ❑ Middleburg ❑ <br /> Electric Suhmersible Electric Submersible ❑ <br /> Suct_on Pula ❑ Suction Pump ❑ <br /> Type of Installed Pi- Installed Pump ❑ <br /> TEND. PH Coh"D TURBIDITY. VOLUME OBSERVATIONS <br /> (x) REMOVED. <br /> Did Well Devater? lqo If yes, gals Gallons Actually Evacuated. <br /> Sa=pling Timm: 11,530 <br /> Sample I D : MID _3 Laboratory. � <br /> Analyzed for�f/Y� /l� <br /> Duplicate I D. : Cleaning Blank I.D <br /> Analyzed for: <br /> Shipping Notations: <br /> Add-itional Notations• <br />