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A <br /> )' Park <br /> A <br /> Environmental <br /> Leaving A Clean Environment <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM ' <br /> Protect Name �,Q ,- �� Nil I— P <br /> Job# , <br /> Date <br /> Sampling Team t{�lca <br /> (Names/Responsibilities) ' <br /> Purpose of Sampling Initialouarteriy Verfication Other <br /> Weather Conditions ' <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> De th Total Feet of Converslon Casln Volume ' <br /> Time TOC to GW De th Water Factor Gall ns <br /> Initial S <br /> After develo 1 ur in a ' <br /> At time of Sampling Three Casing Volumes C 2— Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire fS:bPumpr Baler t ndpiper Other <br /> Method Description <br /> Decontamination Method r-� <br /> 4 LCD <br /> Water Contefed i� drums baker tank other <br /> Labeled Q R ' <br /> Pump Vol Water Temp EC Observations <br /> Time Rate Extracted C umhos H color turbidity oils odor <br /> Start 17 <br /> .2 _2 <br /> 2 � <br /> Lab <br /> SAMPLE INFORMATION ' <br /> i d <br /> Sampling Containers/Number of ontamers/Analysis Preservation Description <br /> 2 1 Liter Amber umber <br /> Ice and ' <br /> 40 ml VoaVL <br /> -.o� Ice and <br /> Other Ice and <br /> Time �' , <br /> Device Disposable Bailer✓ Other <br /> Pertinent Field Observations <br /> Sampling Protocol <br /> Deviations from Standard <br /> 1 <br />