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NVELL MONITORING DATA SHEET <br /> . ProOect r 7V7'ze Client• <br /> sa..^?ler' �� Start Date: <br /> ';ell I D well Dieter: (circle one) (5_) 3 4 5 <br /> Total well Depth: Depth to Water. <br /> Before �'-fter,r yq Before '9 yp A-fter <br /> � -L- <br /> Depth to Free Product• Thickness of Free Product (feet) <br /> Measure-gents referenced to PVC Grade Other <br /> Well Dia.�-,eter aG04 t;el.lG��Dia.yeter VCF <br /> 1., 1.47 . <br /> ,T 0 16 .l <br /> 3'r 0 37 10It 08 <br /> 4.1 51, 1 02 16 .1 10 43 <br /> r -- <br /> X 3 �. 3 <br /> 1 case Vol, ,e Specif_ed Volumes = gallons <br /> Purging Bailer S2---ZDling Bailer <br /> Dir:osable Bailer74 Disposable Eailer <br /> • u_cclebvrg Ex-tractio-% Port <br /> =lectric Sub-yrs-ole Other <br /> B>wractic-i s�-a <br /> Cher <br /> Tilu-'E 1ZuP t; co'.D TU-` BIDITX VOLU2-`�' 0 s S E.RVA T 1 ON S <br /> 7/ :LC' <br /> c / z�' �,_ • S,'1�., <br /> /Soy `70, Y 7 `�' /7Cs <br /> T -7e• 7, y 10 e `7 z C) <br /> Did Well Dekater? N0 If yes, gals. Gallons Actually Evacuated: 7 <br /> - liDate• 1 <br /> SF.--r��ling T��e /��� Sa. qpn g �/zf3 <br /> Saxzple I D : 4.r 3 Laboratory: 1111�ip�- - - <br /> Analyzed for: BT- TPH-D OTP.E i-rh�/fE� �Z6p <br /> • (Circle) <br /> ti Duplicate I D. • Cleaning Blank I D. : <br /> Analyzed for: TPH-G BTEX TPH-D 07EER: <br /> (Circle) <br />