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A , <br /> Park <br /> y <br /> EnVgonmentaf `h <br /> Leaving A Clean Environment <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Te 5jS,– <br /> Job# <br /> Date <br /> Sam linTeam �S <br /> (Names/Responsibilities) 1 <br /> Purpose of Sampling Initial Quarterly Verflcation Other <br /> Weather Conditions ' <br /> GROUNDWATER LEVEUCASING VOLUME <br /> De th Total Feet of Conversion Casing Volume <br /> Initial <br /> Time TOC to GW De th Water Factor Gallons <br /> � S <br /> After develo / ur in r <br /> At time of Sampling If Three Casing VolumesL Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-AireSub Pum er an piper other <br /> Method Description <br /> Decontamination S <br /> Water Contat ment rums b ker tank <br /> Labeled other <br /> —Pum Vol Water Tem EC <br /> Time fate Extracted Observations <br /> umbos H color turbi h oils odor <br /> Start <br /> aq <br /> 0� ERA <br /> SAMPLE INFORMATION <br /> Lab <br /> Sampling Containers/Number ontainerslAnalysrs Preservation Description <br /> 1 Liter Ambe� Ice and <br /> 40 ml Voa <br /> Ice and <br /> Other Ice and <br /> Time _ , <br /> Device Dlsp lbws lbws eo Batlerv--�- Other l <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />