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ALISTO ENGINEERING GROUP <br /> Groundwater Monitoring Well Development/Sampling Field Survey Form <br /> Client: if Date:— 3 <br /> Alisto Project No: 101E-1 Field Pers nnel: <br /> Service Station No: Address: +�ro <br /> Well 1D: PAW -(o Field ActivitT. Well Development r-Well 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 IDispos.Bailer <br /> W3 Inch(0.37 Gal/foot) _Disposable Bailers .Product Thickness Pump <br /> �4 Inch(0.65 Gal/Foot) _Other l.�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 /> Decontamination Method: 4 Triple Rinse (Liquinox) _ Steam Cleaned <br /> Calculated Purge Volume <br /> 17. 1,atr � 1.►-e- = ft X LGal/Ft Gal X <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 /> 100 0 <br /> Time Surged Temp pH and. Purge Comments Analysis Container Preserv. <br /> (Min) °F (umhos Vol Required Type <br /> /cm) (Gal) <br /> 1917 7G D� �S � ID <br /> BTEX VOA HCL <br /> 131 . r3 H- Amber <br /> sel Liter <br /> 1?J3 .� 3 A 601 VOA <br /> ti 333 tq• -I ! 1 G Amber HNO3 <br /> 0BF Liter <br /> 133 (o .1 7M <br /> omments: <br /> 32S �3S I3y3 <br /> D . 01 q .o f <br />