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WELL MONITORING DATA SHEET <br /> Project #:lt&�- <br /> �I Client: <br /> W � <br /> Smiler: Ila Date Sampled: /Z&/ <br /> well T.D. 'Aa-3 <br /> a3 i;ell Diameter: (circle one) 2 3 4 6 <br /> Total Well Depth: Depth to Water: <br /> BeforeZ/„ After Before �% After <br /> Depth to Fres Pzoduct; :hsckness of Free Product (feet) : <br /> N.eaaurementa referenced to: V Grade Other -- <br /> {as/.) ..)r.t a c, <br /> • t as <br /> i.ai�...+.r{�a� t• r �d <br /> X — . <br /> 1 Case Volume Specified Vol-=e3 - gallons <br /> Pi.rging: Bailer p Sa--!:;)lirg: Bailer <br /> Y.iddleburg F--ddleburg c <br /> Electric Subme:s:.b?e a Electzwc Suh--ars:ble O <br /> Suction Push a Suction Pt:..^^p ❑ <br /> Type of Installed PLS Installed <br /> TI'S TE2f.P. phi CChem "_'Uh32DITY: VOLU"'M OBSERVATIONS: <br /> (F) REMOVED: <br /> 211 6 <br /> EM 0 1 1141 —_7-,7�O <br /> Did Well Dexater3 .�I.f yes, gals'. Gallons Actually Evacuated: <br /> Sampling Time. /PI6 <br /> Sample T.D. : �jJ �� Laboratory: <br /> Analyzed Fox i-�?wf/l <br /> Duplicate I D. : Clean=g Slack I.D. <br /> Analyzed for: <br /> Shipping Notations: <br /> Additional Notations: <br />