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LftUtL[ENGINEERING, INC. <br /> RCfi al�27011 Ltc #537901 , <br /> 8084 Old Auburn Rd,Sude E, Citrus Heights,CA 95610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM r <br /> Project Name s -_LSI Job# G Wel;# In1-S • <br /> Date I LIQ[% Sample ID -SS <br /> Sampling Team ' <br /> Purpose of Sampling ❑ IniUal quarterly ❑ Verificatcn ❑ Other <br /> Weather Conditions ' <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Conversion ' <br /> Description 1 (TOC to GW) Total Depth Feet of Water Factor f Cuing <br /> (h to gals)III I Vofume <br /> Initial ( allons) , <br /> After Development/At Time <br /> Pur in <br /> Sam I ngf i ! Three Casing Volumes ��Cals <br /> D Ten Casing Volumes —��Cals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Submersible P^u—mp ❑ Bailer ❑ Sandpiper ED Other 1 <br /> Method +�d <br /> cnpnar: ' <br /> Decontamination Metftod <br /> escnpvon <br /> er Containment Drum ❑ gayer Tank ❑Treatment <br /> System ❑ Other <br /> Labeled "bw <br /> Start Time Volume Water Tem re —�� <br /> Extracted •F C pH Observations , <br /> I i (umhos) (Color,Turbitrty,Oils,Odor) <br /> T) i 10 —I t� �,l <br /> t L _ i r 22,1.0 <br /> Lab <br /> SAMPLE INFORMATION ' <br /> �t�QeA <br /> Sampling Ccntainers/No of Containers <br /> ❑ i Llter Amber PreservaLon <br /> 40 ml VO 6y+ E ❑ ice ❑ Other <br /> Othericea ice ❑ Other <br /> Bal <br /> Device ❑ ❑ Other 1 <br /> lar,Disposable Other <br /> Pertinent ield Observaticns <br /> Lvialions From Standard Sampling Protocol i <br /> 1 <br />