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Park <br /> Environmental M <br /> ng A Clean Environment <br /> ' WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name [A�- t <br /> Job# <br /> Date <br /> Sam linVam y <br /> ' (Names e5 onsibl[ities) <br /> Purpose of Sampling Initial Quarterly Verfication Other <br /> ' Weather Conditions <br /> GROUNDWATER LEVEUCASING VOLUME <br /> ' De th Total Feet of Conversion Casino Volume <br /> Initial Time TOC to GW De ith Water Factor Gallo <br /> After develop/purcling <br /> At time of Sam lin Three Casing Volumes <br /> ��., Gals <br /> Ten Casing Volumes I— <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-AireSubPum Bailer Sandpiper Other <br /> Method Description <br /> Decontamination Method <br /> Water Contamme dryms baker tank <br /> ' t,l <br /> other <br /> Labeled <br /> Pum Vol Waterem EC Observations <br /> ' Time Rate Extracted F umbos VHO <br /> Start color turbidi oils odor <br /> I I 2 <br /> ll <br /> ' � r <br /> Lab <br /> SAMPLE INFORMATION <br /> �� <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber 111 Ice and <br /> 40 ml Voa - yC Ice and <br /> 4 Other oft✓ �i Ice and <br /> Time <br /> Device Disposable Bailery Other <br /> ertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />