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ALISTO ENGINEERING GROUP <br /> Groundwater Monitoring Well Development/Sampling Field Survey Form <br /> Client: IJ1 Date. I 3 'i <br /> Alisto Project No: 0' Field Personnel: <br /> Service Station No: Address: a <br /> Well ID: MW "Field Actiyitrr: Well Development 1well Sampling —Product Bailing <br /> Casing Diameter: Purge Method: Well Data: Sampling Method: <br /> X2 Inch(0.16 Gal/foot) Pump (dispos.Poly Tubing) Depth to Product �Dispos.Bailer <br /> __3 Inch (0.37 Gal/foot) _Disposable Bailers Product Thickness _Pump <br /> _4 Inch(0.65 Gal/Foot) _Other j0�pth to Water <br /> __4.5 Inca(0.83 Gal/foot) _1.66 PVC Standard Bailer <br /> T6 Inch(1.47 Gal/foot) _3.50 PVC Standard Bailer <br /> Decontamination Method: I Triple Rinse (Liquinox) — Steam Cleaned <br /> Calculated Purge Volume_ I �f <br /> �ft X ' I GaifFt = Gal X = + -7-7 <br /> Total Depth Depth to Water Conversion Casing Vol Vols to Calculated <br /> of Well Water Column Factor Purge Purge Volume <br /> Well Development/Sampling Parameters <br /> 00 <br /> Time Surged Temp pH ond. Purge Comments Analysis Container Preserv. <br /> (Min) °F (umhos Vol Required Type <br /> /Cm) (Gal) <br /> 13 7 f 99 j G } TPH- VOA HCL <br /> 1 G/B'FEX <br /> 74 ' JJ TPH- Amber <br /> Diesel Liter <br /> G.o 70 i Y9 3 EPA 601 VOA <br /> T TOG Amber H2NO3 552OBF Liter <br /> Comments: <br /> y 0 114 fy3o <br />