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n <br /> P�i�k <br /> Corporation <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br />' Project Name � <br /> .lob# <br /> Date I 2 — I t <br />' Sampling Team L L/ <br /> (Names/Responsibilities) <br />' Purpose of Sampling Initial Verfication Other <br /> Weather Conditions <br /> tGROUNDWATER LEVELICASING VOLUME <br /> De th Total Feet of Conversion CasingVolume <br />' Time TOC to GW De th Water Factor Gallons <br /> Initial f U 1 OM l _ <br /> After develo ! ur m <br /> At time of Sampling 3 3r o Three Casing Volumes j Gals <br /> Ten Casing Volumes Gals <br />' WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire 5uM dump Baiter Sandpiper Other <br /> Method Description <br /> W <br /> ontamination Methoder Containment tsaker tank other <br /> Labeled <br /> PUME Vol Water Tem FC Observations <br /> Time Rate Extracted F4� <br /> Start H color turbidityoils odor <br /> ` _ <br /> + 7 ` <br /> �i <br /> SAMPLE INFORMATION <br /> Lab <br />' Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber p <br />' <br /> 40 ml Voa Ice and Other ��-�� ce and - <br /> Ice and <br /> Time <br />' Device Disposable Bailer Other <br /> Pertinent Field Observations <br />&O-viations from Standard Sampling Protocol <br />