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1A <br /> Park <br /> Environmental <br /> ing A Clean ElTVlronment <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project ame f : <br /> Job# p — L ----- <br /> Date <br /> Sam Iln ea r <br /> ' (Names/Responsibilities) <br /> Purpose of Sampling Initial Quarterly Verrication Other <br /> ' Weather Conditions <br /> GROUNDWATER LEVEUCASiNG VOLUME <br /> be th Total Feet of Conversion Casino Volume <br /> Time TOC to GW Depth Water Facto <br /> Initial � Gallons <br /> After develo 1 ur In ' <br /> At time of Sam fin Three Casing Volumes <br /> 3 Gals <br /> Ten Casing Volumes Gals <br /> 1 WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pump Bailer ndpiper Other <br /> Method Description 2u <br /> Decontamination Method ^ <br /> Water Containme drums baker tank <br /> Labeled other <br /> i <br /> Pump Vol Water —TempEC <br /> Time Rate Observations <br /> Extracted C umhos H color turbtdi odor <br /> Start <br /> 1222 l t f it <br /> © � <br /> ' SAMPLE INFORMATION <br /> Lab <br /> SamplIng,Containers/NumbeyerF -ontaainers/Analysis Preservation Description <br /> 1 LiterAmber — Ice and <br /> 40 ml Voa —� Ice and c,[� <br /> 1 Other — Ice and <br /> ' Time <br /> Device Disposable Batler Other <br /> eminent Field Obser�atlons <br /> Deviations from Standard Sampling Protocol <br />