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1 N <br /> ' ALISTO ENGINEERING GROUP <br /> Groundwater Development and Sampling Form <br /> ' "1 <br /> Client: c Date: <br /> Alisto Project No:_ii, -!��L: -Z Field Personnel: �. <br /> ' Service Station No: 1 1Ti ` _ Address:_ �o <br /> Well ID:� Field Activity: -_Well Development ell Sampling ,.,Product Bailing <br /> Casing D_iarneter Pure Method: Well Data: <br /> Inch (0.16 Gal/foot) (Pump (dispos. Poly Tubing) t0epth to Product <br /> Inch (0.37 Gal/foot) Disposable Bailers Product Thickness <br /> 4 Inch (0.65 Gal/Foot) _Other j7�Depth 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 /> Sampling Method: Decontamination Method: <br /> 1 DisP osable Bailer Triple Rinse (Liquinox) <br /> pump Steam Cleaned <br /> ' Calculated Pure Volume <br /> �'. c:-5 i 7yo -f�.2 ft x : ( C Gal/Ft Gal x <br /> M Total Depth Depth to Water Conversion Casing Vol Vols to Total <br /> of Well Water Column Factor Purge Volume <br /> ' Well Develoyment/Sam••.plint; Parameters <br /> Time Temp pH Cond. Purge Comments/ Analysis Contai Presery <br /> °F (umhos Vol Turbidity Required ner <br /> ' /cm) (Gal) Type <br /> rr� 7 rr9 TPH- VOA HCL <br /> UG'l ,00 Z G/BTEX <br /> %' TPH- Amber Solvent <br /> cl( / Diesel Liter Rinsed <br /> EPA 601 VOA <br /> VOID I TOG Amber HrSO, <br /> 652OBF Liter <br /> `� � �''` Ll -7 <br /> FORM.gs3nns9z ! <br /> 1 <br />