Laserfiche WebLink
' ENGINEERING INC _ <br /> RCE#27611 Lie #537901 <br />' 8084 Old Auburn Ad.Suite E. Citrus Heights CA 95610 <br /> 0 WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br />' Project Name r" <br /> .lob# �� Well # <br /> Cate ILb0 Sample ID <br /> Sampling Team — -- <br /> Purpose of Sampling InitialQuarterty ❑ Venticatlon ❑ Other <br /> Weather Gondrtrons <br />' GROUNDWATER LEVE C <br /> U ASING VOLUME <br /> Description TimeDepth Conversion Casing <br /> (TOC to GW) Total Depth Feet of Water Factor Volume <br /> h to s (gallons) <br /> Iruhal <br /> After Development/ <br /> Pu r <br /> IR At Time of Three Casing Volumes Gals <br /> Sampling <br /> Ten Casing Volumes _Gals <br /> 1 WELL DEVELOPMENT/PURGING <br /> Equipment ❑Submersible Pump ❑ Bailer ❑ Sandpiper ❑ Otter <br /> t eftd <br /> cnption <br /> Decontamination Method <br /> L)escription <br /> ft Containment ❑ Drums ❑ Baker Tank ❑Treatment System ❑Other <br /> Labeled <br /> Observations <br /> Start Time Volume Water Temperature EC <br /> Extracted 'F/°C (umhos) pH (Color,Turbihty,oils,Odor) <br /> SAMPLE INFORMATION <br /> lb <br /> Sampling Containers/No of Containers Preservation <br /> 1 Uter Amber <br /> 40 ml VOA ❑ Ice �f Other <br /> Qifier ❑ Ice Other <br /> ❑ Ice Other <br /> Device 3� Bailer,Disposable i' Other <br /> �rtinent Feld Observations <br /> ns From Standard Sampling Protocol \rL <br />