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1 <br /> SHELL WELL MONITORING DATA SHEET <br /> Project#: WIC #: Hwy t9 <br /> Sampler: sa Date: t--31 <br /> Well I D.: Q,, - Well Diameter: 2 3 0] 6 8 <br /> Total Well Depth: — Depth to Water: 19 40 <br /> Depth to Free Product- Thickness of Free Product (feet): <br /> Referenced to: Pvc Grade D O. Meter (if req'd): C j 3S- HACH <br /> Well Diameter Multiplier Well My.1tipher <br /> 2" 016 5" 102 <br /> 3" 037 6" 147 <br /> 4" 065 other radiusl'0163 <br /> Purge Method Bader Sampling Method Bader <br /> Middleburg Extraction Port <br /> Electnc Submersible SY -11�-M 00T Other pu�'1P <br /> Extraction Pump ULIABL— To CzMPt-00 Y t , <br /> Other C-�-Rp$ �...as�l?►.� <br /> • X = Gals <br /> 1 Case Volume (Gals) Specified Volumes Calculated Volume <br /> Time Temp (°F) pH Cond Turbidity Gals Removed Observations <br /> t�lo3 0`l 7- t t Qo !d 10 000TZ <br /> Did well dewater? Yes No Gallons actually evacuated: l.o <br /> Sampling Time. Sampling Date: 1--31 <br /> Sample I D.: R,a,_� Laboratory' Sequoi Crosby <br /> Analyzed for: TPH-CB <br /> MT E TPx-D Other <br /> AQ Equipment Blank I D.: @ r=0 Duplicate I.D : rx:Q <br /> Analyzed for: TP E TPH-D Other• <br /> D O. (if req'd)• Pre-purge "'g/ Post-purge ` / <br />