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SHELL WELL MONITORING DATA SHEET <br /> 4WCt #: �$oZ.1�— A� WIC #: ZoS-- bio <br /> Sampler: Date• a-L_ lo —q s <br /> Well I D : V to w —Z Well Diameter. 2 3 6 8 <br /> Total Well Depth: 1-kp ,'3 k Depth to Water- 3S 0 <br /> Depth to Free Product: Thickness of Free Product (feet): <br /> Referenced to: vc Grade D.O. Meter (if req'd)• YSI HACH <br /> Well Dam= MU11112 ger Well Damrgemllu her <br /> 2" 016 S. 102 <br /> Y 037 6" 147 <br /> 4" 065 Other radius=-0 163 <br /> Purge Method Bailer X Sampling Method Bailer 'A <br /> Middleburg Extraction Port <br /> EIectric Submersible Other <br /> Extraction Pump <br /> Other <br /> _ 1 .4 X � _ L4 �-k Gals <br /> . 1 Case Volume (Gals) Specked Volumes Calculated Volume <br /> Time Temp (°F) pH Cond Turbidity Gals Removed Observations <br /> loo 72r)0 z.d <br /> �t2 ��.g �?• Z 20� �� '� � <br /> �L <br /> Did well dewater? Yes No Gallons actually evacuated: y <br /> Samplmg Tune: �3,Zo Sampling Date- Z <br /> Sample I D.: U,tA,; Laboratory: SCQa Crosby <br /> Analyzed for: - TPH-D Other ,; �t, <br /> Uagipment Blank I D : @ rmr Duplicate I.D <br /> Analyzed for: TPH-G BTEX MTBE TPH-D Other <br /> D 0 (if req'd): Pre-purge / Post-purge r°&/ <br />