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/ Pwk <br /> CorgoratIon <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> ' -roject Name <br /> ob# <br /> 'ate <br /> am lin Tea <br /> ' (Names/Responsibilities) <br /> urpose of Sampling Initial Quarterly Verfication other <br /> feather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> ' Deoth <br /> Total i Feetof Conversiari Casin Volume <br /> Time TOC to GW Depth Water Factor <br /> initial I .CC7 Gallons S+ <br /> Atter develo 1 ur in <br /> ' At time of Sam li L4 , Three Casing Volumes Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING <br /> ;uipment; Swab-Aire Sub Pum Bailer andpiper Other: <br /> sthod Description: <br /> M .contamination Method: <br /> ater Containme t: drums baker tank other. <br /> Labeled <br /> ' Pump Vol.Water 1 Temp. EC Observations <br /> Time Rate Extracted FIC <br /> Start umhos H color,turbidity.ails,odor <br /> 1 '210 <br /> ' � � S— <br /> " <br /> SAMPLE INFORMATION <br /> Lab: <br /> ' 3mpling Containers/Number of Corntainers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> ' 44 m.► Vo t <br /> Other ice and <br /> Ice and <br /> ' Time: , <br /> Device: Disposable Bailer L/ Other: <br /> 1rtinent Field Observations: <br /> '• Sampling;viations from Standard <br /> 9 Protocol: <br /> .r <br />