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ALISTO ENGINEERING GROUP <br /> Groundwater Monitoring Well Development/Sampling Field Survey Form <br /> =.i C <br /> Client: b pate: <br /> ' d-' <br /> r <br /> Alisto Project No: 10 `3 t^ "3 field Personnel-2 i ) <br /> -•� Service Station No: Address: 0 <br /> Well ID: �/��Field Activit 1 Well Development Well Stunpling _Product Bailing <br /> i <br /> Casing Diameter: Purge Method: Well Data: Sampling Method: <br /> Inch(0.16 Gal/foot) Pump(dispos.Poly Tubing) Depth to Product Dispos. Bailer <br /> Inch(0.37 Gal/foot) /bisposable Bailers �Procfuct Thickness rPump <br /> 4 Inch(0.65 Gal/Foot) _Other _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 /> :9 <br /> Decontamination Method: _ Triple Rinse (Liquinox) T Steam Cleaned <br /> -; Calculated Purge Volume <br /> t_; CT Ll 7 <br /> ft x Ga1/Ft = Gal X:,79 _ <br /> Total Depth Depth to Water Conversion Casing Vol Vols to Calculated <br /> of Well - Water Column Factor Purge Purge 1(olume <br /> Well Development/Sampling Parameters <br /> is=: -.;-•, <br /> Time Surged Temp pH Cond. Purge Comments Anolysis Container Preserv. <br /> Min) °F (umbos Vol Required Type <br /> /cm) (Gal) <br /> i � 11� /or°1 TPH- VOA HCL <br /> 0 /"v G/BTEX <br /> TPH- Amber <br /> Diesel Liter <br /> EPA 601 VOA <br /> TOG Amber H,NO, <br /> / S ire S 552OBF Liter <br /> �n <br /> `� Comments. <br />