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ell _ENGINEERING, INC <br /> RCE#27011 Uc #537901 <br /> irOld Auburn Rd,Suite E Citrus Heights,CA 95610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Name Job# SOt?-4 09 Well# <br /> ate t t q9 Sample ID <br /> piing Team CAr <br /> rpose of Sampling ❑ Initial 19 Quarterly ❑ Venfication ❑ Other <br /> Weather Condihons <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Conversion Casing <br /> Description Time ROC to GW} Total Depth Feet of Water Factor Volume <br /> 2QQ ft to gals) (gallons) <br /> Initial �rd's/ <br /> After Development/ 2G1 r <br /> Puri Three Casing Volumes Gals <br /> At Time of �qr,� <br /> Sam lin Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGl <br /> Equipment Submersible Pump ❑ Bader ❑ Sandpiper ❑ Other <br /> lethod 2'2EjDt� <br /> --1Y��OO Description <br /> Decontamination Method Sp l V_cmt;F_=-- <br /> ascription <br /> n%Fo .nine LK Drums ❑ Baker Tank ❑Treatment <br /> System 01 Other <br /> Labeled �EbF- VV. <br /> IL it I <br /> Start Time Volume Water Temperature pH Observations <br /> Extracted A°F�C (umhos) (Color,Turbitrty,Ods,Odor) <br /> 09l 19,E 4,1 <br /> SAMPLE INFORMATION <br /> Sampling Contatners/No of Containers Preservation <br /> I Liter Amber ❑ ice ❑ Other <br /> 40 ml VOA f -Kt Ice Other --- b- <br /> 1 Other <br /> ❑ ice _j Other <br /> Device ,K- Bailer,Disposable ❑ Other <br /> IrHent Feld Observations <br /> ns From Standard Sampling Protocol <br /> A <br />