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� �rK <br /> : or Po rat ton <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> ' )ject Name J , - <br /> )# 1 r <br /> te <br /> ' m lin Te m <br /> (Na m es/Respo n s i bi l iti es) <br /> ' -pose of Sampling Initial oQuatei Verficatlon <br /> lather Conditions other <br /> ' GROUNDWATER LEVEUCASING VOLUME <br /> De th Total Feet.of Conversion <br /> t Time TOC to GW De th Water Factor <br /> Casin Volum <br /> Initial e <br /> l Gallons <br /> After develo / ur in45 rr 1 ( [ <br /> I�r11 <br /> t At time of Sampling <br /> Three Casing Volumes �D Gals <br /> Ten Casing Volumes Gals <br /> ' WELL DEVELOPMENTIPURGING <br /> ament:. Swab-Aire Sub Pum er andpiper Other: <br /> od Description: <br /> mtamination Method: <br /> x Containmr, . rum r tank <br /> Labeled' ather. <br /> ' Pum Vol.Water Tem EC <br /> Time Rate E cted F/C Observaticns <br /> Start umhos H <br /> 1412 3 color,turbidLIZ, oils,odor <br /> ' 144 <br /> 1.4 <br /> 14 . Zr <br /> ' SAMPLE <br /> Lab: � INFORMATION <br /> ' pling Containers/Number of Containers/Analysis Preservation Descri tion <br /> 1 Liter Amber P <br /> 40 ml Voa ice and <br /> ' Other ice and EU <br /> Ice and <br /> Time: <br /> ' Device: Disposable Bailer Other: <br /> nent Field Observations: <br /> �ations from Standard Sampling Protocol: <br />