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WELL MONITORING DATA SHEET <br /> roject # tel&?N Client <br /> Sampler �,,,� Start Date 1 l Gl y g <br /> Well I D l ����- Well Diameter3 4 6 S <br /> Total Well Depth j Depth to Water 161 <br /> Before After Before After <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to Grade DO Meter (if req'd) Ysl HACH <br /> Purge Method Bailer Samplmg Method Bailer <br /> os a _er <br /> Middleburg Extraction Port <br /> Electric Submersibie Other <br /> Extraction Pump <br /> Other Well Diameter MU1t113l1er Well Diameter lvlultipher <br /> 2" 016 5 — 102 <br /> !'(Gals)X = Gals 3- 037 6 1 47 <br /> C oiume Specified Volumes 41aTVolume 4" 063 ocher radius-'0 163 <br /> AME IMPF <br /> Time Temp (°F) pH Cond Turbidity Gals Removed Observations <br /> -77`� k/T 114 <br /> Did well dewater? Yes No Gallons actually evacuated <br /> Sampling Time �,�,� SamplingDate- le � v <br /> Sample I D F Laboratory <br /> Analyzed for H- rE� TPH-D Other <br /> Equipment Blank I D Time Duplicate I D <br /> for TPH-G BTEX MTBE TPH-D Other <br /> m m <br /> DO (if req d) Pre-purge SIL Post-purge g�� <br /> MV <br /> ORP (if req d) mil# Post-purge <br />