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SHELL WELL MONITORING DATA SHEET <br /> BTS #: E t Site: - <br /> Sampler: Date: tz j <br /> CPA <br /> Well I.D.: Well Diameter: 2 3 rIJ <br /> 6 8 _ <br /> Total Well Depth (TD): 1 Depth to Water (DTW): <br /> Depth to Free Product: Thickness of Free Product (feet): <br /> Referenced to: Grade D.O. Meter (if req'd): >� xacx <br /> BTW with 80% Recharge [(Height of Water Column x 0.20) + DTW]: 1 r, <br /> Purge Method: Bailer Waters <br /> Disposable Bailer Sampling Method: 13& <br /> Peristaltic Disposable Bailer <br /> Middleburg Extraction Pump <br /> ElectrjC SY bmersible Extraction Port <br /> / Other_ Dedicated Tubing <br /> Other: <br /> rDiameiej Multiplier Well n'amet r gala 1'er <br /> 0.04 4- 0.65 <br /> Gats.)X 3 = 5 SZ Gals. 0.16 e° t.a�1 Case Volume S ecified Volumes Calculated Volume 039 fuer adius'•0.163 <br /> Cond. Turbidity <br /> Time Temp (°F) PH (MS/cm orXC. <br /> (NTUs) Gals. Removed Observations <br /> lib ryas. G,, " r <br /> 2-5-s- i. <br /> 2`i to 0•j <br /> Did well dewater? Y No Gallons actually evacuated.: , r, <br /> Sampling Date: g2Aait Sampling Time: IV DepthtoWater: <br /> Sample 1.D.: Mtn,. <br /> �'� Laboratory: Tesj��rAerica Othf;r <br /> Analyzed for: TPH-G BTEx MTBE TPH-D Other: , t J <br /> EB I.D. (if applicable): @Tve Duplicate I.D..(if applicable): <br /> n <br /> Analyzed for: TPH-G BTEx MTBE TPH-D Other: <br /> D.O. (if req'd): Pre-purge: me/L Post-purge: mg <br /> O.R.P. (if req'd): Pre-purge: mV Post-purge: <br /> mV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (800) 545-7558 <br />