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i <br /> ALISTO ENGINEERING GROUP <br /> Groundwater Development and Sampling Form <br /> 1 ) <br /> Dat ( ;.0 q q <br /> Client: � e' <br /> Alisto Project No: Field Personnel- <br /> Service Station No: Address: <br /> Well ID:�1� Field Activity: Well Development KWell Sampling ____Product Bailing <br /> r <br /> Casing Diameter: Purge Method: Well Data: <br /> ' -4-2 Inch (0.16 Gal/foot) bump (dispos. Poly Tubing) Depth to Product <br /> 3 Inch {0.37 Gal/foot} _Disposable Bailers Product Thickness <br /> 4 Inch (0.65 Gal/Foot) _Other 10Depth to Water <br /> ' 4.5 Inch (0.83 Gal/foot) _1.66 PVC Standard Bailer <br /> _6 Inch (1.47 Gal/foot) _3.50 PVC Standard Bailer <br /> i <br /> ' Sampling Method: Decontamination Method: <br /> }( I <br /> 1 Disposable Bailer Triple Rinse (Liquinox) <br /> Pump Steam Cleaned <br /> MCalculated Purge Volume 'y 1 Z 6 � � .D _ j 6• ft X Gal/Ft Gal X <br /> Total Depth Depth to Water Conversion Casing Vol Vols t.�;, Total <br /> of Well Water Column Factor Purge Volume <br /> rWell Development/Sampling Parameters <br /> Time Temp pH Cond. Purge Turbid- Dissolved Analysis Container Preservative <br /> (umh !cm) Vol ity Oxygen Required Type <br /> (X ) (Gal) <br /> t). O -? ?o 3• TPH-G/BTEX VOA HCL <br /> ' 5- TPH-Diesel Amber Liter Solvent Rinsed <br /> B•. L YS 5-O EPA 601 VOA <br /> -7 D TOG 552OBF Amber Liter HrSo, <br /> y, o <br /> 1 <br /> i <br /> r <br /> FORM.FS&ILM592 <br /> r " <br />