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P�i�k <br /> { Corporation <br /> WELL DEVELOPMENTISAMPLING <br /> DOCUMENTATION FORM <br /> Project Name ( I <br /> 3� <br /> Job# rt <br /> Date <br /> Sam m2 Team ' <br /> (Names/Responsibilities) <br /> Purpose of Sampling <br /> Weather Conditio�n5 initial uarterly Vertication <br /> Other <br /> GROUNDWATER LEVEUCASING VOLUME <br /> De th <br />` Total Feet of Conversion <br /> Time TOC to GW De h Casin Volume <br /> Initial o, Water Factor ;, Gallons <br /> After develo / ur in 2 12 I <br /> At time of Sam lin <br /> Three Casing Volumes <br /> Gals <br /> i Ten Casing Volumes GaiS <br /> .i <br /> f WELL DEVELOPMENT/PURGING <br /> ii <br /> Equipment: Swab-Aire Sub Pum Bailer Sandpiper Other: i <br /> Lll_� <br /> Method Description: ,. 1 <br /> )econtamination Method., <br /> Water Containme rums <br /> Labeled: baker tank other: <br /> I Pum Vol.Water Tem EC a <br /> Time Rate Extracted Observations <br /> Start FSC R�S°s H4 '' color,turbidi ,oils,odor <br /> 04'1t <br /> J <br /> I <br /> I <br /> Lab: <br /> SAMPLE INFORMATION <br /> � � <br /> I ;! <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> I Liter Amber gce <br /> and <br /> yo VR- -k- and <br /> Other - <br /> Ice and ;. <br /> Time: <br /> Device: Disposable Bailer ✓ Other., <br /> L ( ,rtinent Field Obsrvations: <br /> Deviations from Standard Sampling Protocol: <br /> 4 <br />