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} <br /> r <br /> k i , <br /> SHELL,WELL MONITORING DATA SHEET <br /> BTS # p`-to`I oz-mss Site <br /> Sampler Date -7 _ 'Z _ b •-1 <br /> t <br /> Well I D Well Diameter [ 3 4 6 S <br /> Total Well Depth (TD) Depth t6 Water (DTW) -7 d._SD <br /> Depth to Free Product - �' , - Thickness of Free Product (feet) <br /> Referenced toPv Grade DO Meter (if req'd) - - vsl HACH <br /> DTW with 80% Rechargd [(Height=of-Water Column Y 0-20)'+ DTWj:-= "� C�• C�= - - <br /> Purge Method Basler Waterra Sampling Method Sailer i/ <br /> Disposable Bailer Peristaltic Disposable Bailer <br /> 1 Positive Air Displacement ✓ Extraction Pump Extraction Port <br /> Electric Submersible Other Dedicated Tubing <br /> Other <br /> WE11_t71zmeler Multeoher ,Well Diameter Mulunher <br /> 0 <br /> " ��` 2" - 0 16 6. 1 47_ _ -� _ <br /> 065 <br /> 3 _tGnls, :� 3' Gals <br /> 1 Case Volume Specified Volumes Calculated Volume 3' 037 Oth,er radius'•0 163 <br /> Cond Turbidity <br /> Time _ Temp(F) _ pH .(ms or DS (NTUs) Gals -Removed Observations <br /> 011 ) 1 y.v �3- � tb6,2�/ I53 a • Co r <br /> Did well dewater? Yes 60:) Gallons actually evacuated- <br /> Sampling Date Sampling Time Del Z 6 Depth to Water <br /> Sample I D \pAW — Laboratory SPI~ Other <br /> Analyzed foi Nl )(Tb 9)TKI D Axys 1 2 DCA EDD Othe) Dy � + <br /> EB I D (if applicable) @T,rw Duplicate I D (if applicable) f <br /> Analyzed for TP11 G OTEX i%iw TI'H D Qxv's 12 DCA EDU Otter ' <br /> DO (if req'd) Pre-purge m91L Post-purge <br /> OR P (if req'd) Pte-purge mV Post-purge lnV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, GA 95112 (800) 545-7558 <br />