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ALISTO ENGINEERING GROUP <br /> Groundwater Development and Sampling Form <br /> Client: Date: J <br /> Alisto Project No: Field Person el: <br /> Service Station No: MIS Address: <br /> Well ID:hw .Field Activity: _Well Development/K—Well Sampling ,Product Bailing <br /> Casing Diameter: Purge Method: Well Data: <br /> 2 Inch (0.16 Gal/foot) tPump (dispos. Poly Tubing) Depth to Product <br /> _3 Inch (0.37 Gal/foot) _Disposable Bailers Product Thicliess <br /> _4 Inch (0.65 Gal/Foot) Other 10•��Depth to Water <br /> _4.5 Inch (0.83 Gal/foot) 1.66 PVC Standard Bailer <br /> _6 Inch (1.47 Gal/foot) 3.50 PVC Standard Bailer <br /> Sampling Method: Decontamination Method: <br /> Disposable Bailer Triple Rinse (Liquinox) <br /> Pump Steam Cleaned <br /> Calculated Pure Volum_e 9 <br /> ft—ft X Gal/Ft = Gal X _ <br /> Total Depth Depth to Water Conversion Casing Vol Vols to Total <br /> of Well Water Column Factor Purge Volume <br /> Well Development/Sampling Parameters <br /> Time Temp pH Cond. Purge Turbid- Dissolved Analysis Container Preservative <br /> (unit, s/cm) Vol ity Oxygen Required Type <br /> (X ) (Gal) <br /> TPH-G/BTEX VOA HCL <br /> IC-10 TPH-Diesel Amber Liter Solvent Rinsed <br /> 9 00 3 EPA 601 VOA <br /> 713 qo Y1 TOG 552OBF Amber titer Hr50, <br /> "! L <br /> } FORM:FS31121592 <br />