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n <br /> / Niek <br /> Corporation <br /> . WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name . [ ,,?,A��� <br /> Job# I <br /> Date <br /> Sampltng <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial uarterty Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Total Feet of Conversion Casin Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial4 14 2 IC) <br /> After develop/purging <br /> ' At time of Sampling L Three Casing Volumes �. _. Gals <br /> Ten Casing Volumes Gals <br /> ' WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pum Bailer andpiper Other <br /> Method Description <br /> O <br /> Decontamination Method <br /> Water Contain rums baker tank other <br /> Label <br /> tPump Vol Water Temp EC Observations <br /> Time Rate Extracted F1C (umhos) 12H color,turbidrty oils odor <br /> ' Start 75 1 <br /> {o r <br /> tl <br /> l <br /> Lab SAMPLE INFORMATION <br /> ' <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br />-� 40 ml Voa _� �- I. Ice and <br /> Other Ice and <br /> Time <br /> ' Device Disposable Baileil�� Other <br /> .Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br /> r <br />