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ALISTO ENGINEERING GROUP <br /> =� Groundwater Development and Sampling Form <br /> Client: Y Date: <br /> Alisto Project No: Field Pers nnel: <br /> Service Station No: Address: <br /> Well ID:MW Field Activity: _Well Development 1well Sampling _Product Bailing <br /> Casing Diameter: Purge Method: Well Data: <br /> 2 Inch (0.16 Gal/foot) Pump (dispos. Poly Tubing) Depth t0 Product <br /> 3 Inch (0.37 Gal/foot) _Disposable Bailers Product Thickness <br /> 4 Inch (0.65 Gal/Foot) Other ADeptWatho ter <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 <br /> aft X GallFt Gal X = s-S <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 /> °F (umh !�) Vol ity Oxygen Required Type <br /> (xX (Gal) <br /> �AM 3 ,DD O , K 7 TPH-G/BTEX VOA HCL <br /> 7•1 �. TPH-Diesel Amber Liter Solvent Rinsed <br /> gjg � IPA bol VOA <br /> 3o TOG 5520BF Amber Liter Hr50, <br /> FORM:FSM21542 <br />