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n <br /> / <br /> P�ir' k <br />' Corporation <br /> i WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name �L� !:2 L Q W <br /> Job# _ �7 : t <br /> Date <br /> Sampling Team <br />' (Names/Responsibilities) <br /> Purpose of Sampling Initialuarterly Vertication Other <br /> Weather Conditions F, rL <br />' GROUNDWATER LEVEUCASING VOLUME <br /> Depth Tota! Feet ofConversion Casm Volume <br /> Time TOC to GW —Depth Water Factor Gallons <br /> Initial 3 � � <br /> After develop/purging <br /> ' At time of Sampling Off{ I G Three Casing Volumes Gals <br /> El Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pum Bader Sandpiper Other <br /> Method Description <br /> Decontamination Method <br /> Water Containment rums baker tank other <br /> Labeled <br /> Pump Vol Water Ternp EC n6i L_ Observations <br /> Time Rate Extracted FIC (umhos) pH color turbidity ods odor <br /> Start <br /> r <br /> 12 <br /> Lab ISAMPLE INFORMATION <br /> �/� <br /> Sampling Containers/Number of Containers/Anal sis <br /> Y Preservation Description <br /> 1 Liter Amber Ice and <br /> 1 40 ml Voa [-7 ce and <br /> Other Ice and <br /> ITime <br /> Device <br /> Disposable Boller Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />