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ALISTD ENGINEERING GROUP <br /> f Groundwater Development and Sampling Form <br /> Client•. Date: s -� <br /> Alisto Project No: S Field Person el: <br /> Service Station No: ��`�� Address: 41 <br /> Well 1D:N=sField Activity: Well Development Well Sampling _Product Bailing <br /> L' r: Pa Method: Well Data• <br /> Casing, D_iamete ur� <br /> -112 Inch (0.16 Gal/foot) 4Pump (dispos. Poly Tubing) to Product <br /> �3 Inch (0.37 Gal/foot) Disposable Bailers Product Thickness <br /> �4 Inch (0.65 Gal/Foot) Other j`Dep1h <br /> 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 /> Disposable Bailer Triple Rinse (Liquinox) <br /> pump Steam Cleaned <br /> Calculated Purge Volume <br /> ft X1 b -Gal/Ft = I y Gal X <br /> Total Depth Depth to Water Conversion Casing Vol Vols to Total <br /> of Well Water Column Factor Purge Volume <br /> Well Development/Sampling Parameters <br /> G_a <br /> Time Temp pH Cond. Purge Comments/ Analysis Container Prese=v <br /> °F (umbos/ Vol Turbidity Required Type <br /> an) (Gal) <br /> loco <br /> LI0 y q 7.1 ' L �l9 4'� G/BTEX VOA HCL <br /> p <br /> TPH <br /> �� 80 8 [..q? Dies Amber solvent <br /> a ) I Diesel Liter Rinsed <br /> EPA 601 VOA <br /> TOG Amber HZSOt <br /> r-- <br /> UJ 1 � ,S� 5o 552OBF Liber <br /> (o <br /> •d0 <br /> FORM.FS3/121592 <br />