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I <br /> ALISTO ENGINEERING GROUP <br /> Groundwater Monitoring Well Development/Sampling Field Survey Form <br /> Client•• U Date: 1' <br /> AiistoProject No: 10 -1.5- Field Personnel: <br /> Service Station No: Address: <br /> Well ID: MW--SField Activity: Well Development -KWell Sampling _Product Bailing <br /> Casing Diameter: Purge Method: Well Data: Sampling Method: <br /> Y-2 Inch(0.16 Gal/foot) Pump(dispos.Poly Tubing) Depth to Product KDispos.Bailer <br /> _3 Inch(0.37 Gal/foot) _Disposable Bailers Product Thickness _Pump <br /> 4 Inch(0.65 Gal/Foot) _Other (L-0]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 /> Decontamination Method: L Triple Rinse (Liquinox) _ Steam Cleaned <br /> Calculated Purge Volume (� <br /> =",4 X Gal/Ft = Gal X <br /> Total Depth Depth to Water Conversion Casing Vol Vols to Calculated <br /> of Well Water Column Factor Purge Purge Volume <br /> Well Development/Sampling Parameters <br /> Time Surged Temp pH ond. Purge Comments Analysis Container Preserv. <br /> (Min) °F (umbos Vol Required Type <br /> /cm) (Gal) <br /> TPH- VOA HCL <br /> 3 �?0 On . 5 a ��. rU;�✓} G/BTEX <br /> S—O a` TPH- Amber <br /> J-� Diesel liter <br /> 3� 1IoL.o .K EPA 601 VOA <br /> 1y�5 .� L TOG Amber H,I�03 <br /> `7 552013F Liter <br /> omments: <br />