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n <br /> Nir-- k <br /> / <br /> Corporat ios+ <br /> . WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name 1 v,L2 <br /> Job# <br />' Date <br /> Sam lin eam <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial Fer�ly Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial 1 � � LO <br /> After develo 1 ur in <br /> At time of Sam lin Three Casing Volumes Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING <br /> Equipment Swab-Aire Bade Sandpiper Other <br /> !Method Description <br /> t4kater <br /> econtamination Method <br /> Containm Jpfd baker tank other <br /> Labeled <br /> Pump Vol Water Ternp EC Observations <br /> Time Rate Extracted FIC (umhos) pH color turbidi oils odor <br /> I Start <br /> Lab SAMPLE INFORMATION <br /> ' Sampling Containers/Number of Containers/Anal sis Preservation Y do Description <br /> I Liter Amber Ice and <br /> ' 40 mi Voa- _ ice and <br /> Other Ice and <br /> Time <br /> Device Disposable Bailer Other' <br /> �ertment Field Obsefvations <br /> Deviations from Standard Sampling Protocol �-_— <br />