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'Ar <br /> P*k <br /> Corporation ' <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Name Lt <br /> Job# --C)O 1 <br /> Date - Z .- 1�1 ' <br /> Sampling Team _ ._ L t i2 V k <br /> (Names/Responsibilities) <br /> ' <br /> Purpose of Sampling lndial Quarterly Verficat,on Other <br /> Weather Conditions fi= ,z I <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume ' <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial , (os 1 3 <br /> After developipurging IQ <br /> At time of Sampling i22 Three Casing Volumes Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING <br /> Equipment Swab-Aire Sub Pump Bader Sandpiper Other <br /> Method Description <br /> r2�'()` r—L.t- <br /> Decontamination Method ,J S <br /> Water Containment rums baker tank other <br /> Labeled ?WfZ6C-7 ._ <br /> 1 <br /> Pum Vol Water Tem EC LOAIL Observations <br /> Time Rate Extracted FIC umhos H color turbidldor <br /> Tart �� i oils odor) <br /> ' <br /> 13 clan.7 <br /> _Y7 Gn <br /> Lab <br /> SAMPLE INFORMATION ' <br /> �l�/L,A <br /> Sampling Containers/Number of Containers/Analysts Preservation Description <br /> I Liter Amber Ice and ' <br /> 22 40 ml Voa Cf�5 and <br /> Other Ice and <br /> Time <br /> Device Disposable Bailer Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />