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SHELL WELL MONITORING DA1 A SHEET <br /> Project #: ")4 a lb L w1c. # -2!q 75-? 000 <br /> Sampler: Date Sampled: 6 <br /> L-A g 1 <br /> Well I D. V1w-� Well Diameter: (circle one) 2 3 6 <br /> Total Well Depth Depth to Water: <br /> Before 61�, Cr After Before �-�(lAfter <br /> Depth to Free Product Thickness of Free Product (feet) : <br /> Measurements referenced to VC Grade Other -- <br /> n• 4►" s i <br /> 17 <br /> Ld- � X _. 7 <br /> 1 Case Volume Spec--f--ed Volumes -- gallons <br /> Purging- Bailer D Sampling• Bailer <br /> 24sdd1eb—rg ❑ Middleburg ❑ <br /> Electr-a Submersi-le 9/ Electric Suhmerszble 1:3 <br /> Suct-cn P— D Suction Pump p <br /> • Type of _nstalled P— Installed Pu=p 13 <br /> TIME TE,N? n3 COED TURBIDITY: VOLUME OBSERVATIONS- <br /> REMOVED: <br /> -No 7�: G <br /> Did Well Dewater?Mo If yes, gals Gallons Actually Evacuated: <br /> Sampling Time: C) 1r <br /> Sample I.D : h4 r Laboratory: I A67 <br /> Analyzed for: � <br /> Duplicate I.D. up <br /> � Clean=g Blank I D. . r <br /> • <br /> Analyzed for: <br /> 1(;,4 G <br /> Shipp�g Notations,.4 V <br /> Additional Notations: <br />