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1 A,, <br />� Park <br /> . Environmental <br /> Ing A Clean Environment <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect me _ <br /> Job# <br />' Date <br /> Sam)Hhnag Team <br /> (Names/Responsibilities) <br /> Purpose of Sampling InitialQuarterly Verfication Other .. <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br /> Depth Total Feet of Conversion Casin Volume <br /> Time TO to GW De th Water Factor (Gallons <br /> Initial v � r � � <br /> 15) <br /> After develo / ur in <br /> At time of Sampling Three Casing Volumes _ Gals <br /> Ten Casing Volumes Gals <br /> ' WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pum Aailer Sa dpiper Other <br /> ethod Description t. <br /> Decontamination od ^(S <br /> Water Contarnm nt rum baker tank other <br /> I <br /> Labeled <br /> Pump Vol Water EC Observations <br /> Start <br /> I <br /> Tiroe Rate Extracted F umhos H color turbidity oils odor <br /> AV <br /> lly(1-0 -_-7f2 <br /> i0 <br /> 1 t� 2• a <br /> 1 <br /> ' SAMPLE INFORMATION <br /> Lab L�fZt2 <br /> Sampling Containers/Number of Containers/Analysts Preservation Description <br /> ' 1 Liter Amber Ice and <br /> 40 ml Voa Ice and <br /> Other Ice and <br /> ' Time / <br /> � Device Disposable Bailer✓ Other <br /> rtinent Field Observations <br /> ' Deviations from Standard Sampling Protocol <br />