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ALISTO ENGINEERING GROUP <br /> Groundwater Development and Sampling Form <br /> Client•• R Date• S I <br /> Alisto Project No: 0 Field Personnel: <br /> Service Station No: Address: <br /> Well ID: SEeld Activity: Well Development .Well Sampling _Product Bailing <br /> Casing Diameter: Purge Method: Well Data: <br /> 12 Inch (0.16 Gal/foot) Pump (dispos. Poly Tubing) tDep <br /> epth to Product <br /> 3 Inch (0.37 Gal/foot) _Disposable Sailers roduct Thickness <br /> 4 Inch (0.65 Gal/Foot) Other thto 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 /> S <br /> a <br /> X—Disposable <br /> mpling Method: Decontamination Method: <br /> Bailer Triple Rinse (Liquinox) <br /> Pump Steam Cleaned <br /> Calculated Pure Volume nn r ^� <br /> PLO.�� - ='I-1 G ft X ,`G Gal[Ft = .�Gal X 7•— _ �� <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 /> IF (urnh s/rm) Vol ity Oxygen Required Type <br /> (X (Gal) <br /> 0 ?D3 0 3 TPH-G/BTEX VOA HCL <br /> V TPH-Diesel Amber Liter Solvent Ringed <br /> eil TNL EPA 601 VOA <br /> /� y TOG 552OBF Amber Liter HX4 <br /> 3�0 ID SO <br /> FORM-F53n21592 <br /> v <br />