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iA, <br /> Park <br /> Environm <br /> mental �J <br /> �vinq A Cir�an EnvironrrTr nr <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Named <br /> Job# - NA�'`L^ <br /> 1 Date a <br /> I <br /> Sam m eam <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initialquarterly Verfcation T <br /> Weather Conditions - Omer <br /> GROUNDWATER L.EVELICASiNG VOLUME <br /> De th Total Feet of Conversion Casing Volume <br /> Time TOC to GW De th Water Factor <br /> Initial Gallons <br /> After develo 1 ur in ii 4 ' <br /> At time of Sam 01ing <br /> Three Casing Volumes <br /> � � Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab Aire (Sub �n aper, C Sandpiper Other <br /> Method Description <br /> Decontamination Method <br /> Water Containment drums _baker tank <br /> Labeled 4 t}� other <br /> Pum Vol Water Temp EC Observations <br /> Time Rate Extracted F C umhos }{ <br /> Start color turbidi oils odor <br /> �� (] <br /> i <br /> Lab <br /> SAMPLE INFORMATION <br /> ���.2tI_.�. <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber — Ice and <br /> 40 mi Voa ( F , ' Ice and �L <br /> Other Ice and <br /> Time —h5-0 <br /> Device Disposable Bailer Other <br /> ertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />