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A <br /> PAr- k <br /> Corporation <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name LkSA t1-',1--711 p _ <br /> Job# E07 f <br /> Date _ 2 _ <br /> Sam2ling Team IZ r VzL'—' f <br /> ' (Names/Responsibilities) <br /> Purpose of Sampling India[ �uarteri Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Initial <br /> Time TOC to GW Depth Water Factor Gallons <br /> 2� q <br /> After develo ! ur m <br /> ' At time of Sam lin j Three Casing Volumes S Gals <br /> Ten Casing Volumes Gals <br /> ' WELL DEVELOPMENTIPURGING <br /> Equipment Swab-Acre Sub Pump Bader Sandpiper Other <br /> Method Description t _ r <br /> Decontamination Method <br /> Water Containment drums baker tank other <br /> Labeled <br /> ' Pump Vol Water Temp EC L Observations <br /> Time Rate Extracted FIC (umhos) p H color turbidity ods odor <br /> ' Start <br /> !fit O <br /> eL� <br /> 1 <br /> 1 <br /> Lab C� <br /> SAMPLE INFORMATION <br /> � �� <br /> Sampling Containers/Number of Containers/Anal sis <br /> Y Preservation Description <br /> I Liter Amber Ice and <br /> , 40 ml Voaand_ (4- ^ <br /> Other ce c,L <br /> Ice and <br /> Time <br /> Device Disposable Boller Other <br /> lPertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />