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/ Th ' <br /> / Pjre k <br /> Carpo rat ion <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name iAklsfi�>, Lji\?yZ . Am-tp (2-v--a w — <br /> Job# 602 3 -" <br /> Date J tom- c <br /> Sampling Team <br /> (Names/Responsibilities) <br /> Purpose of Sampling 1ndialQuarterly Verrication Other ' <br /> Weather Conditions <br /> GROUNDWATER LEVEUCASING VOLUME ' <br /> Depth Total Feet of Conversion Casing Volume ' <br /> Time TOC to GW De th Water Factor Gallons <br /> Initial • G � c. f <br /> After develo ! ur in <br /> At time of Sampling Q ' " Three Casing Volumes / Gals , <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING <br /> Equipment Swab-Aare utr Pump Bailer Sandpiper Other ' <br /> Method Description <br /> Decontamination Method <br /> Water Containment drum baker tank other <br /> Labeled <br /> Purne Vol Water Ternp EC Observations ' <br /> Time Rate Extracted F)6) PH color turbidity oils odor <br /> Start �- _ � /, <br /> 2 1h <br /> Lab �I E112P—A SAMPLE INFORMATION <br /> Sampling Containers/Number of Containers/Analysis Preservation Description ' <br /> 1 Liter Amber Ice and <br /> _4p ml Voa —'� v and ' <br /> Other Ice and <br /> Time <br /> Device Disposable Bailer Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol 01 <br /> I <br />