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ALISTO ENGINEERING GROUP <br /> Groundwater Development and Sampling Form <br /> Client: Date: s 1'a `1 U <br /> 6 <br /> Alisto Project No: r Field Perso ne <br /> Service Station No: Address: " <br /> Well ID: Kq-gField Activity: Well Development Well Sampling _Product Bailing <br /> Casing Diameter: Purge Method: Well Data: <br /> S2 Inch (0.16 Gal/foot) Pump (dispos. Poly Tubing) pth to Product <br /> 3 Inch (0.37 Gal/foot) Disposable Bailers Product Thickness <br /> _4 Inch (0.65 Gal./Foot) `Other gDe <br /> 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 Volume y 9 <br /> r --11,81 ft X ' L to Gal/Ft .� JGal 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- DissolvedAnalysis Container Preservative <br /> OF { !�) Vol ity Oxygen Required Type <br /> ( ) (Gal) <br /> il 1 TPH-G/BTEX VOA HCL <br /> UD V 3 TPH-Diesel Amber Liter Solvent Rinsed <br /> 79 o f EPA 601 VOA <br /> sTOG 552OBF Amber Liter H=SO, <br /> 1�1 0 7•$1 S c) •a S <br /> =, FOM FS31121592 <br />