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SHELL NVELL MONITORING DATA SHEET <br /> �jC b <br /> Pro3ect # ! D W.Lc # <br /> Saumler Date S led: <br /> -- Q��- 3 <br /> Welj 1 D 6// Well Diameter (circle one) 2 3 6 <br /> Total rTell Depth Depth to Water, <br /> Before d_ZG :-fter Before �,7 7, 5After <br /> Depth to Free ProdLct Th--ckne93 of Free Product (feet) : <br /> Measuresrnentz referenced to- PVC Grade Other -- <br /> ti...... o.. r. r e Cr) s u •Cr <br /> Ila I'll, <br /> ..► .. c.. <br /> [ ai s •(in } a <br /> Y • 11.1 — w <br /> t .7 <br /> 1 Case Volume Saecif_ed Volumes = gallons <br /> Purging: Sailer ❑ Sampli-nq: Bailer P <br /> Y-idd'ebLrg :1.s ddleburg ❑ <br /> lectr-c S- er9:-�ble ❑ Electric Submerss.ble ❑ <br /> Suct-on PL_^'] ❑ Suction Puffi- ❑ <br /> Type of =:stalled Punk Installed Pturp ❑ <br /> CC:r"D --URBT_DITY VOLU2-M OBSERVATIONS: <br /> ^ REMOVED- <br /> /cloe 76. eo <br /> f <br /> r <br /> D_d Well Dexater? if yes, gals Gallons Actually Evacuated: <br /> Sampling T—,-ie /50 <br /> Sa=le I D . 1//m YJ Laboratory' <br /> Analyzed for. <br /> Duplicate I.D ! %{ J Cleaning Blank I D <br /> Analyzed for- <br /> Shipping Notations: <br /> Add-tional NOtat-ons: <br />