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1 n <br /> / The <br /> � <br /> CorPoraticn <br /> ' WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Name Ak <br /> 3 D, <br /> Job# <br /> ' Date 1ZJ Ci — <br /> Sampling Team <br /> ' (Names/Responsibilities) <br /> Purpose of Sampling Initial carte 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 /> Initial /.�t2 c t .2 v'2 .Co <br /> After develop/purging' Sampling <br /> �+ I,At time of Sam lin .2 6 4,J Three Casing Volumes o2 Gals <br /> Ten Casing Volumes Gals <br /> ' WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pump Bailer Sandpiper Other <br /> Method Description <br /> Decontamination Method e— <br /> Water Containment um baker tank other <br /> tLabeled <br /> Pum Vol Water Tem EC Observations <br /> Time Rate Extracted F<- u�ahes H color,turbid ods odor <br /> Start M .7 <br /> a2. ' <br /> c <br /> ' <br /> Lab SAMPLE INFORMATION <br /> ' � I <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br />' 1 Liter Amber Ice and — _— <br /> 40 mi Voa Ice and _ r <br /> Other Ice and <br />' Time <br /> Device Disposable Bailer Other <br /> ",ertme <br /> nt Field Observations <br /> Deviations from Standard Sampling Protocol <br />