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' / ane <br /> Pcm <br /> Corporation' <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> ' Project Name l <br /> Job # l -- <br /> ' Date <br /> Sam fin Team <br /> ' (Names/Responsibilities) <br /> Durpose of Sampling InitialQuarterly Verfication • Other <br /> Neather Conditions <br /> GROUNDWATER LEVELICA <br /> SING VOLUME <br /> 1 De th Total Feet of Conversion Casin Volume <br /> Time . TOC to GW De th Water Factor {Gallons <br /> Initial 14 2 <br /> Atter develo / ur In <br /> ' At time of Sampling Three Casing Volumes <br /> 2 - Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING <br /> _quipment: Swab-Aire EubPum) Ball Sandpiper Other. <br /> Aethod Description: �' <br /> )econtaminaWn Method: <br /> Vater Contai rums baker tank <br /> other. <br /> ' Puma Vol.Water Tem EC <br /> Time RateObservations <br /> E>Rracted FSC umhos H Dolor,turbid' ,oils,odor <br /> ' Start ids <br /> 4010 C <br /> 1 ! <br /> Lab: <br /> SAMPLE INFORMATION <br /> ' c <br /> sampling Containers/Number of Containers/An.alysis Preservation Description <br /> I Liter Amber Ice and <br /> ' X40 ml Voa Ice and <br /> Other Ice and <br /> ' Time: <br /> Device: Disposable BaHerOther: <br /> 'ertinent Field Observations: `. <br /> teviations from Standard Sampling Protocol: <br /> 1 <br />