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LnENGINEERING INC <br /> INCE#27011 lJc #537901 , <br /> 8084 Old Auburn Rd,Suds E Citrus Heights,CA 95610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name t ' <br /> Jab Weq # titt+�1-gj • <br /> Dace t Ifs S L�a h Sample ID t�.t�8 <br /> Sampling Team l� r , <br /> Purpose of Sampling ❑ Initial Xuarterly ❑ Verrfcaticn ❑ Other <br /> Weather Condrtions ' <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Description Time Depth Converslon <br /> (TOC to GM Total Depth Feet of Water Factor Volum <br /> Initial r`/ _ v { (ti to s) ( a@ons) <br /> -After Development/=At = -- `DA <br /> Pur in <br /> Sammi not L Dl Three Casirg Volumes � <br /> Gals ' <br /> Ten Casirg VclumesGals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment )gSubmersibleePPummp ❑ Bailer ❑ Sandpiper ❑ Other <br /> Method ?- <br /> n <br /> ' <br /> Deoontamatron Method �� 1Z�ALS� cnpuon <br /> escnption <br /> er ment rums ❑ E'akerTank <br /> ❑Treatment System Cl Oar <br /> Labeled .' <br /> Start Time Volume Water Tempe re --Ee- -� <br /> Extracted °F C (umhos) PH Observations , <br /> (Color,Turbitity,Oils,Odor) <br /> f � <br /> f � ' <br /> qt ' <br /> CF <br /> Lab <br /> SAMPLE INFORMATION ' <br /> L <br /> Sampling Containers/No of Containers <br /> ❑ t Ute' <br /> Am Preservahvn <br /> � 40 ml VO �.jca El Other <br /> F-01 ,Other - _ .�_ ce ❑ Other <br /> Devr e ❑ Ice ❑ Other <br /> ailer Disposable ❑ Other <br /> Pertinent Keld Observations <br /> -viations From Standard Sampling Protocol <br /> �f <br />