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A <br /> PArk <br /> Corporation ' <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Protect Name IJLSA Lot <br /> Job# Sct Ct -Z-2 <br /> Date y _tom <br /> Sampling Team tL 2 <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial Quarterly Vert"icatson Other <br /> Weather Conditions — <br /> GROUNDWATER LEVELICASING VOLUME <br /> De th Total Feet of Conversion Casino Volume <br /> Initial <br /> Tsme TOC to GW De th Water Factor Gallons <br />' <br /> After develo 1 ur in 1 , <br /> At time of Sam lin Three Casing Volumes Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING r <br /> Equipment Swab-Aire Sub Pum Bader Sandpiper Other <br /> Method Description <br /> Decontamination Method —T 5 � L' <br /> Water Containment rums Maker tank _ _ _ other — - - <br /> Labeled <br /> Pump Vol Water Tem EC CIU t Observations <br /> Time Rate Extracted F1C (umhos hi <br /> Start { � M Q (color turbidity ods odor <br /> 0 5� <br /> ez <br /> 3 CLCx�L <br /> SAMPLE INFORMATION <br /> Lab <br /> Sampling Containers/Number of Containers/Analysts Preservation Description <br /> 1 Liter Amber Ice and <br /> 3 40 ml Voai ce and <br /> Other Ice and <br /> Time <br /> Device Disposable Bailer Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />