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4 r <br /> SHELL WELL MONITORING DATA SHEET <br /> BTS <br /> pier: Date• <br /> Well T.D.: S — l — $ Well Diameter•�2] 3 4 6 8 <br /> Total Well Depth (TD); i;-5 Depth to Water (DTW): s 3• <br /> Depth to Free Product: Thickness of Free Product (feet): <br /> Referenced to: Evc Grade D O. Meter (if req d)• vSr HACH <br /> DTW with 80%Recharge [(Height of Water Column x 0.20)+DIM: 59 48 <br /> Purge Method. Batter Waters Sampling Method Butt r <br /> 3D-%' Disposable Bailer Peristaltic Disposable Bailer <br /> Middleburg✓ E.Xtraction Pump Extraction Port <br /> Electric submersible Other Dedicated Tinting <br /> Other <br /> Well Dfitmeta Multiplier Well Diameter Multiplier <br /> i" 004 4" 065 <br /> 11 � 016 " 147 <br /> I <br /> ` (Gals.);{ i q' Gals 3" 0.31 lather radius•0 163 <br /> t ease volume $ ecified Volumes Calculated Volume <br /> Conti Turbidity <br /> Time Temq(C"F) pH (mS or (NTUs) Gals. Removed Observations <br /> "� (0 &. $ t 33 ►oda �`� v e� �,>,�b=a <br /> til I (Oi5'►< �'] :2�� <br /> 1P (QA"I o& 1%4"1 <br /> Did well dewater? yes No Gallons actually evacuated: ]L. , <br /> Sampling Date: I— {�_p 3 Sampling Time: �� Depth to Water: 5 3 , <br /> Sample T.D.: Laboratory: Kill SPL Other <br /> Analyzed for. x-G (13TEx MTBE TPR-D Other: <br /> EB T.D (!f applicable): @ Duplicate LD (if applicable): <br /> Analyzed for: TPH-G 13TEX MTBE TPH-D Other: <br /> D.0 (if req'd): Pre-purge: Mg1L Post-purge: <br /> CWLP. (if req'd): Pre-purge mV Post-purge: mV <br /> Blaine Tech Services, Inc. 16130 Rogers Ave., San Jose, CA 95112 (800) 545-7555 <br />