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n <br /> YJ <br /> YParky <br /> E nvi ronmenta I <br /> Leaving A Clean Environment <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM ' <br /> Project Name <br /> Job# ' <br /> Date <br /> Sampling Te m 5 <br /> (Names/Responsibilities) ' <br /> Purpose of Sampling Initial Quarterly Verfication Other <br /> Weather Conditions ' <br /> GROUNDWATER LEVEUCASING VOLUME <br /> Depth Total Feet of Conversion Casino Volume <br /> Time TOC to GW De th Water Factor Gallons <br /> Initial t f 2 <br /> After devela 1 ur en <br /> At time of Sampling Three Casing Volumes _ co Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub P p Baiter andpiper Other <br /> Method Description <br /> t <br /> Decontamination Method <br /> Water Contain ent ru baker tank other <br /> Labele <br /> Pum Vol Water Tem EC Observations <br /> Time Rate Extracted F (umhos N color turbidi als odor <br /> Start _ Cr T { <br /> L2S 2 ' <br /> Lab <br /> SAMPLE INFORMATION <br /> ti <br /> Sampling Containers/NumbeyOf-'Gontainers/Analys,s Preservation Description <br /> Z 1 Liter Amber` Ice and ' <br /> 40 ml Voa -t- ice and <br /> Other Ice and <br /> Time _ <br /> Device Drsp bleso as BatlerL/ Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol ' <br />