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Park <br /> 1A <br /> i <br /> !~nvirnnmentaI b <br /> n9 A Clean Fnvironment <br />' WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name <br /> Job# <br />' Date <br /> Sam lin ea ltk <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial Quarterly Verfication Other <br /> ' Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br /> ' De th Total Feet of Conversion Casing Volume <br /> Time TOC to GW De th Water Factor Gallons <br /> Initial < <br /> ' After develop/purging <br /> At time of Sampling Three Casing Volumes _ Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING <br /> Equipment Swab-AireSub Pump ler andpiper Other <br /> avethod Description c <br /> econtamination Method <br /> Water Containm dr s kn Q}c other <br /> ' Labeled L C <br /> Pump Vol Water T m EC Observations <br /> Start Time Rate Extracted F! (umhos) PH color turbiditv oils odor <br /> S z� <br /> Z p <br /> ' Lab SAMPLE INFORMATION <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> ' 1 Liter Amber Ice and <br /> Otherr Voa - Ice and <br /> Otice and <br /> ' Time <br /> Device Disposable Bailer Other <br /> rtinent <br /> Field Observations <br /> 1 Deviations from Standard Sarrtpling Protocol <br />