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_U <br /> LL [L <br /> ENGINEERING INC T T <br /> RCB#27011 tic #5379(}1 ' <br /> 6084 Old Aubum Rd,Surte E, Citrus Heights,CA 9561 o <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM r <br /> Project Name LL Jeb • <br /> Weil# !—Z t <br /> Elate Sample ID <br /> Sampling Team <br /> Purpose of Sampling ❑ Initial ')K Quarterly ❑ Venficabon ❑ Other , <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME ' <br /> Description Time Depth Cc <br /> rive rsion Casing <br /> (TOC to GW) Total Depth Feet of Water Factor Volum <br /> Initial (ft to gal-S) ( allons) 1 <br /> Pur ,n <br /> �ARer Development/ ��/1 A' <br /> S212 of Three Casing Volumes �^Gals <br /> Ter,Casing Volumes ,Cals <br /> WELL DEVELOPMENT/PURGING ' <br /> Equipment ❑ Submersible PumpEaiter ❑ Sand , er <br /> P p ❑ Other <br /> Method l <br /> ,Decontamination Method escnpnon <br /> Treatment <br /> Dater Containment �Drums 1:1 Baker Tank ' <br /> ❑Treatment System ❑ Other <br /> Labeled <br /> Start Time Volume Water TempepNre <br /> j(Umhos)JL <br /> Extracted •F C pH Observations ' <br /> 2 (Color,Turbitity,Oris,Odor) <br /> 14s f <br /> D,2 1 t <br /> 1 <br /> Lab <br /> SAMPLE INFORMATION ' <br /> L <br /> Sampling Containers/No of Containers <br /> 1 LsterAmbe Preservation <br /> 40 ml VO .t r ❑ Ice ❑ Other <br /> Other AIca ❑ Other <br /> DeviceEDice 1:1 Other <br /> Bailer Disposable 1:1 Other <br /> Pertinent Feld observations <br /> Ljev,apons From Standard Sampling Protocol <br /> 1 <br />