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ENGINEERING, INC <br /> RCS#27011 Lic #537901` <br /> 8084 Old Aubum Rd,Supe E Citrus Heights,CA 95610 <br /> WELL DEVELOPMENT/SAMPLING DO ' <br /> CUMEiVTATiON FORM <br /> Prefect Name (x` <br /> Date � Zt 99 Job# ��'09 Well# •-LQ <br /> Sample ID M <br /> Sampling Team <br /> e�� �'� <br /> Purpose of Sampling ❑Initial Quarterly ❑ Verification ❑ Other <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> s <br /> Description -R Depth Conversion Casing <br /> (FOC to GW) Total Depth Feet of Water Factor Volume �f <br /> - h to afs aliens) <br /> —_Initial �•'�(•y � �,2 � <br /> After Development/ r(( <br /> Pumina (D02 <br /> At Time of i �•-� `�, Three Casing Volumes lD►J Gafs <br /> Sampling <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING , <br /> Equipment Submersible Pump ❑ Baiter ❑ Sandpiper ❑ Other <br /> Method za vroi-i-�.v <br /> �� cnptlon <br /> Decontamination Method (S iztkL <br /> Water Containmentescnpiion <br /> (Drums ❑ Baker Tank ❑Treatment <br /> r System L-1Other <br /> Labeled <br /> Start Time Volume Water Tempe ture <br /> , <br /> (umhos} pH Observations <br /> Extracted °F,C <br /> (Color,Turbidly,Ods,Odor) <br /> ,oa <br /> Lab %MON SAMPLE INFORMATION <br /> Sampling Containers/No of Containers Preservation <br /> ] 1 Liter Amber <br /> 40 ml VOA ❑ Ice_ ❑ Other <br /> Other - '9 Ice Other c.r.. <br /> ❑ Ica Other <br /> Device �Bailer Dlsp°sable DOther <br /> Pertinent Field Observations , <br /> Deviations From Standard Sampling Protocol <br />