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1 <br /> SHELL WELL MONITORING DATA SHEET <br /> Pro Sect #: Q$oZ1Q Wic #= ZCp,--1Is;-Z4 — ZLtde <br />• Sa=pler• Start Date: <br /> c>-z-- l o- gs <br /> Well U I.D. : well Diameter: (circle one) 2 3 6 <br /> ' F.��Z <br /> Total Well Depth: S ze Depth to Water: j 2, <br /> Before After Before After <br /> Depth to Free Product: Thickness of Free Product (feet) : <br /> Measurements referenced to: cf5� Grade Other: <br /> Well Dix—ter 0- well Diameter 1 47 <br /> �_. <br /> 2 0 .16 8" 2.61 <br /> 0.37 10" 5'87 y <br /> 4�� 0 65 12; 10 43 ''TM <br /> 510 1.02 16' <br /> .U X 3 U� <br /> 1 Case volume Specified Volumes = gallons t, <br /> Purging: Bailer Sampling- Bailer ' <br /> Disposable Bailer Disposable BailerG <br /> Middleburg Extraction Port <br />. Electric Submersible Other <br /> Extraction Pump <br /> Other <br /> TIME FI-12 pH COND TURBIDITY VVOLtTMED. OBSERVATIONS <br /> (F) REMOV <br /> Did Well Dewater? If yes, gals Gallons Actually Evacuated: <br /> Sampling Time: Sampling Date: <br /> Sample I.D. : Laboratory: <br /> Analyzed for: TPH-G BTEX TPH-D OTHER. <br /> (Circle) <br /> 0 Duplicate I D Cleaning Blank I.D <br /> Analyzed for: TPH-G BTEX TPH-D OTHER: <br /> (Circle) <br />