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PA�k <br /> Corporation <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name-D,'VWb.LAJ�a LVHLTC_�&A Jlf`ti --7 <br /> Job# 50 j 1 <br /> Date 12— t c{ 4, ' <br /> Sampling Team t 2iL tf <br /> (Names/Responsibilities) ' <br /> Purpose of Sampling Initial Quarter) Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME ' <br /> Depth Total Feet of Conversion Casinci Volume ' <br /> Time TQC to GW Depth Water Factor Gallons <br /> Initial - ► 3 C;, [ lv S <br /> After develop/purging <br /> At time of Sampling / Three Casing Volumes '� ' <br /> Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING ' <br /> Equipment Swab-Aire ub Pum Bailer Sandpiper Other <br /> Method Description <br /> Decontamination Method ) + `J" e <br /> Water Containment s baker tank other <br /> Labeled - <br /> Pump Vol Water Temp EC Observations ' <br /> Start <br /> Time Rate Extracted FIC pH color turbidity oils odor <br /> - - r <br /> Lab r QUA- SAMPLE INFORMATION <br /> � <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ilm and 40 ml Voa ce and I <br /> Other Ice and <br /> Time <br /> Device DisposableBailer r Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />