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n <br /> P�i�k <br />' ICorParat ian <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name LA-6,As- 3 <br /> Job# <br /> Date _ <br /> Sam <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial uartedy Verfication other <br /> Weather Conditions <br />' GROUNDWATER LEVELICASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth Water Factor Gal€ons <br /> Initial 7.� 5 'a-� I o`7 <br /> After develo 1 ur in <br /> At time of Sampling l Q 3 I Three Casing volumes P Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pum Bailer Sandpiper Other <br /> Method Description �� �J�—��I — <br /> Decontamination Method A-v <br /> Water Containment drums baker tank other <br /> 1 Labeled <br /> Pump Vol Water Temp EC ON L Observations <br />' <br /> Start <br /> Time Rate Extracted FIC umhos H color turb-idity oils odor� <br /> r <br /> � r Lf CaFFT �Rp� <br /> 1 <br /> Lab <br /> SAMPLE INFORMATION <br /> tL�� � <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 ml Voa ce and ,. <br /> Other Ice and <br /> Time <br /> Device Disposable Bailer Other <br /> eriinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />