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1 <br /> 'Ar <br /> Park <br /> yy <br /> Environmental Ylri . <br /> Leaving A Clean Environment ' <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name (LCJN---- t <br /> Job# dj <br /> Date -::?-] q G, <br /> sampling Team — S <br /> (Names/Responsibilities) , <br /> Purpose of Sampling Initial Quailed Verfication Other <br /> Weather Conditions ' <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Total Feet of Conversion <br /> Casin Volume <br /> Time TOC to GW Depth Wat Factor Gallons <br /> a! ,After d ur in <br /> At time of eling Three Casing Volumes �� Gals <br /> Ten casing Volumes Gals ' <br /> WE DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pump Bailer Sandpiper Other <br /> Method Description <br /> Decontamination Method L <br /> Water Contain drum b ker tank ' <br /> Labeled other <br /> Pum Vol Water Tem EC Observations <br /> Time {tate Extracted FIC umhos H color turbidi osis odor ' <br /> Start <br /> i <br /> Lab SAMPLE INFORMATION ' <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> Voa <br /> Other <br /> K— Ice and L� <br /> Othea r Ice and <br /> Time _ <br /> Device Disposable Bailerl.� Other <br /> Pertinent Field Observations <br /> e atio from Standard Sampling Protocol S <br />