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amt <br /> ALISTO ENGINEERING GROUP <br /> Groundwater Monitoring Well Development/Sampling Field Survey Form <br /> , a Jc 913 <br /> Client: 1� � �_1 � pate- <br /> AlistoProject No:_1 U"�Sl D"� - o� 3 field Personnel: j�:i`in _ <br /> fService Station No: Address:M-50 o <br /> I � <br /> r <br /> Well ID: mu Field Activity: ✓Well Development Well S;Lmpling Product Bailing <br /> F � Casing Diameter: Purge Method: Well Data: SamplinMethod: <br /> _�n2 Inch(0.16 Gal/foot) Pump(dispos.Poly Tubing) Depth to Product YDispos. Bailer <br /> _ L- <br /> 3 inch(0.37 Gal/foot) Disposable Bailers _Product Thickness Pump <br /> s=:"iR 5 3 depth to Water <br /> _4 Inch(0.65 Gal/Foot) _Other <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 /> l--i <br /> Decontamination Method: _ Triple Rinse (Liquinox) T Steam Cleaned <br /> Calculated Purge Volume_ <br /> = I ft x ') calli;t Gal x <br /> Total Depth Depth to Water Conversion Casing Vol Vols to Calcul#ted <br /> of Well Water Column Factor PurgR Purge volume <br /> Well Develo mentlSam lir► Parameters <br /> i:-s=:0 <br /> Time Surged Temp pH Cond. Purge Comments Aclysis Container Preserv. <br /> (Min) OF (umhos Vol Required Type <br /> /cm) (Gal) <br /> TPH- VOA HCL <br /> G/BTEx <br /> TPH- Amber <br /> )P• s Diesel Liter <br /> EPA 601 VOA <br /> TOG Amber H1NO3 <br /> 5520BF Liter <br /> -i omments: <br /> :.J <br />