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The' <br /> Corporation <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name ' <br /> Job# t tu,�-1 <br /> Date <br /> �` � Sam fin Team <br /> i (Names/Responsibilities) <br /> Purpose of Sampling InitialQuarterly Verfication <br /> Weather Conditions Other <br /> i --------------- <br /> , <br /> . GROUNDWATER LEVELJCASING VOLUME ; <br /> 1 i <br /> De th <br /> Time TOC to GW Total <br /> De th <br /> Feet of Conversion Casin Volume <br /> Initial 'I Water Factor I Gallons <br /> After develo / ur rn { S- <br /> lin <br /> At time of Sam i <br /> Li Three Casing Volumes 1�,S Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment: Swab-Aire ubPump Bailer andpiper <br /> Method Description: p Other: i <br /> r---"Qecontamination Method: <br /> t i• <br /> *,01, <br /> WaYer Containment: rums baker tank <br /> Labeled: other: <br /> ' Pum Vol.Water Tem <br /> Time Rate Extracted FIC Time Observations <br /> Start Q EC <br /> H� � color,turbid ,oils,odor <br /> Z SS I <br /> r <br /> r r <br /> i <br /> � If <br /> SAMPLE INFORMATION <br /> Lab: it <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 ml,Vo and <br /> Oilier Ice and <br /> Time: <br /> L Device: Disp Bailer t--` Other. <br /> -pertinent Field Observations: <br /> k <br /> eviations from Standard Sampling Protocol: i <br /> } <br /> I <br /> i� i <br />