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A <br /> / <br /> P*k <br /> Corporation <br />' WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> ProjectName SLSS 1 10 <br /> Job# y 7 <br />' Date L4 - 2A - I <br /> Sampling Team 7i ;L _ <br /> (Names/Responsibilities) <br /> Purpose of Sampling India] Quarterly Verticatson Other <br />' Weather Conditions n= & <br /> GROUNDWATER LEVELICASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW De th Water Factor Gallons <br /> Initial (aj463ti a, <br /> After develop/ ,ur in <br /> At time of Sampling i {p Three Casing Volumes Gals <br /> Ten Casing Volumes Gals <br />' WELL DEVELOPMENTIPURGING <br /> Equipment Swab-AireSub Pum Bailer Sandpiper Other <br /> Method Description <br /> Decontamination Method 42- e <br /> Water Containment drums baker tank other <br />' Labeled <br /> Pump Vol Water Teme EC Observations <br /> Time Rate Extracted FIC (umhos) pH color turbidity oils odor <br /> Start Q <br /> 4. <br /> Lab �1�2.Q� SAMPLE INFORMATION <br />' <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 ml Voa and <br /> Other Ice and <br />' Time 105-- <br /> Device Disposable Bailer Other- <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />