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i--,arK <br /> Corparat ton <br /> WELL DEVELOP MENTISAMPLING DOCUMENTATION FORM <br /> 'roject Name <br /> ' ob # <br /> )ate <br /> ;am fin ear <br /> 1 (Names/Responsibilities) <br /> ' •urpose of Sampling Initial uarteriy Verfication Other <br /> Veather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> ' =%_ <br /> TotalFeet of Conversion CasinoVoturne <br /> Water Factor <br /> ' initialGal[ons <br /> fo <br /> :time <br /> velo ! ur in <br /> o!Sam [in <br /> Three Casing VolumesQ Gals <br /> ' Ten Casing Volumes Gafs <br /> WELL DEVELOPMENTIPURGING <br /> ' [uipment: Swab-Aire Bao Sandpiper Other, <br /> :thud Description: r <br /> .contamination Metho2d: <br /> ater Cantainm d baker tank <br /> Labeled: other, <br /> Pum Vol.Water Tem . <br /> ' Time Rate EC Observations <br /> Extracted <br /> Start ( FIC umhos H color,turbldi ,oils,odor <br /> 1 � <br /> ' Lab: SAMPLE INFORMATION <br /> ' Impling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber <br /> �40 m! Voa Ice and <br /> Other �_ Ice and <br /> Ice and <br /> Time: --- <br /> Device:Usposable Sailer Other: <br /> ' rtinent Field Observations: <br /> viations from Standard Sampling Protocol. <br /> i <br />