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A <br /> YPark,EnvironmenIaM1 <br /> Leavinq A C1�ari Lnviroi�rrli s t <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Prosect Name 6&__LDDA <br /> Job# -11-r5 <br /> Date Q <br /> Sam fin Team U_ <br /> (Names/Responslbtlitles) <br /> Purpose of Sampling lndial QuprtErl Verricat:on T Other <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial 4 'EA q S <br /> After develop/purging 42-5-Z <br /> At time of Sampling Three Casing Volumes 9 Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pump Baiter (—,% Sandpiper Other <br /> Method Description o <br /> Decontamination Method <br /> Water Containment rums (,�,, baker tank other <br /> Labeled A l"'(. <br /> Pump Vol Water Temp EC Observations <br /> Time Rate Extracted F C umhos H color turbidt oils odor <br /> Start I t Q Q t 2 <br /> lt4 4 <br /> lit-l(o ' <br /> SAMPLE INFORMATION <br /> Lab <br /> Sampling Containers/Number of Containers/Analysis Preservation Description _ <br /> 1 Liter Amber Ice and <br /> 40 ml Voa Ice and L[� <br /> Other Ice and <br /> Time ll5�i <br /> Dewce Disposable Bailer✓ Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol _ <br />