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• <br /> Maim ez. ID. <br /> Well/Piezometer Development Record Mw <br /> Client Site Location CTy1LY-ijrs i CA <br /> Project No Date lDlr b(11', Developer � <br /> , <br /> Nlk't'E S Pry-osS <br /> i <br /> WELL1PfEZ ETER DATA <br /> Well Piezometer u Diameter Material <br /> Measuring Point Descriptior. <br /> Geology at Screen Interval <br /> Depth to Top of Screen (ft; �� � (if known) <br /> Depth to Bottom or Screen V u tC1vW ti Time of Water Level Measurement t <br /> • Total Weil Depth (ft) bb . C{ �CR(y�+.Jlwry�l h'1 Y tU t <br /> Calculate Purge Volume(gal 1 j q .-7 <br /> Depth to Static Water Level(ft Disposal Method <br /> DF.t.�vrJ'Fn ro +��1fL+� <br /> k L •5K Y U .I t A`1 Wellhead PIDrFID N�4 <br /> Ongrnai Well Develbprren' i� Redevelopment Date Date of Original Development <br /> DEVELOPMENT METHOD 9'�SGsiAAuLRAv>_�,e. PURGE METHOD &0vNFdS jVh.P <br /> Field Testing Equipment Used Make Model <br /> frx- A� Serial Number <br /> w— 2o r5 <br /> • <br /> Fiero Testing Calibration. Documentation Fcurd sn Feid Notebook# Page# <br /> volume ; Spec Cond <br /> Time Removed ; ;��; T- ;C. pH ;umncs. Turbicit 'NtUs)I DO Color Odor Other. <br /> 2 tt . 0 1". 8 7 ?5 0 .tq'1 -- S.t, <br /> 22 U •a. —fes i to <br /> t�2i U 2o.0 I .-7Uf lAyLt- <br /> 1 ta ,J <br /> I <br /> . 0 X40 — 1 .ZZ �T Ke'• <br /> t 26 , 01 -7.14 t10 y,n 11 �7. 6R.. <br /> • t 7-1 7 (o. U Zw , p t_ bZ' O . A I .t-1 llt. Aev <br /> t'i 'll 4s ,d .v <br /> .0 1t.tA; m• <br /> ACCEPTANCE CRITERIA(from workplan) Yes/No NrA <br /> • Mu? Purge Volume ; :O ,v&! ci.;mes; l'\_-1 gaiic s Has raqulrad voiuma bean removed i <br /> Max;mum Turbidity Ailowmote's NTUs Has required turbidity been reached <br /> Stabdeation of parameta s= Have parameters sta.iazed <br /> if ro or NrA exclam be'ow u <br /> • VI <br /> S gnature <br /> - Date. 10 [ 6 I? <br /> • <br />