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i 1 <br /> Pjrk <br /> CorP0ra!tion <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Name Lp� <br /> Job# <br /> Datei• <br /> tO <br /> Sam lin Tears <br /> : i <br /> I 1:1 (Names/Res onsibiflbes) <br /> Purpose of Sampling <br /> weather Conditions Initial uartedy Verfiication <br /> Other <br /> i GROUNDWATER <br /> LEVEL/CASING VOLUME . <br /> f <br /> De th Total J1 <br /> { Feet of Conversion Casin Volume <br /> 1.. Time TOC to GW De th Water <br /> A <br /> Initial,, Factor Gallons <br /> fter develo � S <br /> At time of Sam fin I <br /> + Three Casing Volumes �,5" Gals <br /> Ten Casing Volumes Gals <br /> i <br /> WELL DEVELOPMENT/PURGING <br /> Equipment: Swab-Aire Sub Pump �BajlerSandpiper Other: <br /> Method Description: <br /> Decontamination Method: <br /> Water Containment: 1 <br /> drums baker tank <br /> Labeled• other: <br /> ` ii <br /> I Pum Vol.Water Tem EC �+ <br /> Time Rate Extracted FICObservations <br /> Start umhos H <br /> { Q color,turbid ,oils,odor <br /> I Q 1 r <br /> l I U 2.. <br /> 5 2 <br /> Lab: <br /> SAMPLE INFORMATION <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 rtI Vo - -k <br /> Other and c� I <br /> Ice and <br /> Time. <br /> Device: Disposable Bailer,"' Other: <br /> f ;ertinent Field Observations: <br /> f <br /> Deviations from 9tandard Sampling Protocol: <br /> 1. 5 <br /> 4 . <br />