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ALISTO ENGINEERING GROUP <br /> Groundwater Development and Sampling Form <br /> Client: Date- Y1.101qq <br /> Alisto Project No: Field Person el: <br /> Service Station No: Address: <br /> Well ID: W -Field Activity: Well Development /Well Sampling YProduct Bailing <br /> Casing Diameter: Purge Method: Well Data: <br /> 12 Inch (0.16 Gal/foot) Pump (dispos. Poly Tubing) Depth to Product <br /> _3 Inch (0.37 Gal/foot) Disposable Bailers Product Thickness <br /> a Inch (0.65 Gal/Foot) —other rLDepth to Water <br /> _4,5 Inch (0.83 Gal/foot) _1.66 PVC Standard Bailer <br /> --6 Inch (147 Gal/foot) 3.50 PVC Standard Bailer <br /> Samvling Method: Decontamination Method: <br /> Disposable Bailer '' Triple Rinse (Liquinox) <br /> pump Steam Cleaned <br /> Calculated Purge Volume s <br /> _ Z>-O ft X -1( G al/F1 �• � 9 G al X <br /> Total Depth Depth to Water Conversion Casing Vol Vols to Total <br /> of Well Water Column Factor Purge Volume <br /> Well Develo ment/Sam-P ling Parameters <br /> Time Temp pH Cond. Purge Turbid- Dissolved Analvsis Container Preservative <br /> (umh Ian) Vol ity Oxygen Required Type <br /> (X ) (C-1) <br /> 0o Z.p. X71300 1 k. 0 TFH-G/BM VOA <br /> 0 3 - TQH. - Amber Liter Sohmt <br /> 0o <br /> 1230 S EPA 601 VOA <br /> 2.3 L ZS I Z30) TOG SnOBF Amber Lite HSO, <br /> FORM.Fs3gM92 <br />