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A <br /> 1 <br /> YParkyyy <br /> Enviranmentalt1'A <br /> Leaving A Clem Envircinrni�rit <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name u-4-)A- L1 <br /> Jab# 5MvZ.-;PL75 - - - - <br /> Date <br /> Sampling_ eam <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial cluarteriy Verfcation 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 Lallans <br /> Initial 5 <br /> After develo ! ur in <br /> At time of Sampling Three Casing volumes p Gals <br /> Ten Casing Volumes Gals 1� <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire (-Sub Pump `Bailer Sandpiper Other <br /> Method Description u y <br /> Decontamination Method <br /> Water Containme ruins baker tank other <br /> Labeled Q <br /> PUMR Vol Water -Lerrip EC Observations <br /> Time Rate Extracted F umhos li color turbidity oils odor <br /> Start (?-LQ t b <br /> t <br /> Lab 22 <br /> 1 <br /> SAMPLE INFORMATION <br /> t�QQ� <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 40ml Voa [rV�k- ice and <br /> Other -- - - - Ice and - <br /> Time 4 p <br /> Device Disposable Bailer V Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />