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ENGINEERING INC <br /> RCS#27011 LLC #537901 <br /> 8084 Old Aubum Rd Suite E Cltrus Naghts,CA 95610 , <br /> WELL IDEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name .lob#. Well # 1'4 <br /> Data 4 <br /> Sample LD_I%Av'11-4-p <br /> Sampling Team --- <br /> Purpose of Sampling ` Initial VC_ arferfy ❑ Venficabon Cl Other <br /> Weather Condrbons <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Conversion Casi <br /> Description Trn1e _RpC to GW)� Total Depth Feet of Water Factor Volu <br /> rne <br /> Initial (ft td als (allons) <br /> After Development/ <br /> Puraina13�' <br /> At rime of � j r� Ttlree Casing Volumes Gals <br /> Sam lin S j d Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING t <br /> Equipment Submersible Pump <br /> C7 Bader C Sandpiper ❑ Other <br /> Method 2F +LO <br /> Description <br /> Decontamination Method <br /> npbon <br /> water Containment <br /> prUrn$ ❑ Baker Tank [i Treatment System Other <br /> Labeled 40 <br /> F_ <br /> Start Time Volume Water Tem lure Observations <br /> Extracted °F C (umhas) pH <br /> a (Color Turbbty Oils Odor) <br /> � <br /> • rtJ <br /> '7_v v ar_LC <br /> f I <br /> 1 <br /> Lab <br /> SAMPLE INFORMATION <br /> t�,,�, <br /> -_---------Sampling Coma ners/No-o!Containers +Preservations- — - - --- �� <br /> 1 Liter Amber _ <br /> ?J 40 ml VOA 1 4- Ice Other <br /> _- Omer - -- - _ - Ice -x Other [� LL - <br /> �, Ice " Other <br /> Cewce Bailer Disposable - Other - - <br /> Fer'inent geld Observabons <br /> Ce,oabons From Standard Sampling Protocol <br />