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A <br /> / P�i�k <br /> Corporation <br /> rWELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Nam <br /> Job# <br /> REE��a Date <br /> Sam Iln <br /> (Names/Responsibilities <br /> Purpose of Sampling Initial Quarterly errication Other <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> De th Total Feet of Conversion Casin Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> ' initial <br /> After develop/purgingQ 2 '61 <br /> 2 � <br /> At time of Sam lin `0 <br /> Three Casing Volumes Z Gals <br /> Ten Casing Volumes Gafs <br /> WELL DEVELOPMENT/PURGING <br /> wpment Swab-Aire SubPu u Bailer Sandpiper Other <br /> Iftthod Description r <br /> Decontamination Method <br /> ' Water Containment drums bakertank other <br /> Labeled <br /> ' <br /> Pump Vol Water Temp EC Observations <br /> Time Rate Extracted FIC (umhos pH color turbid:tY oils odor <br /> Start Zz I r <br /> 21 Z <br /> i <br /> ' <br /> Lab SAMPLE INFORMATION <br /> t� <br /> Sampling Container.,/Number of rc^taine mlAnalysrs Preservation Description <br /> 1 Liter Amber Ice and <br /> ��40 ml Voa Fr>- -t Ice and <br /> Other Ice and <br /> Time <br /> Device Disposable Bailer✓ Other <br /> Pertinent Feld Observations <br /> viatrons from Standard Sampling Protocol t 1u � 1---Z-4=7 n <br /> 6 <br />