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IE LE L ENGINEERING, INC <br /> RCF#27011 LIC #537901 <br /> 8084 Old Auburn Rd.Suite E, Citrus Heights CA 95610 <br /> ' WELL DEVELOPMENT/SAMPLING DOCUMENT <br /> [ _w ATION FORM <br /> 'Project Name - X11 Job#S cif Well# ?\AW`3 <br /> Date Sample ID NAV4 <br /> Sampling Team <br />'Purpose of Sampling ❑ Initial Y�Quarteriy ❑ Verification ❑ Other <br /> Weather Conditions <br /> ' GROUNDWATER LEVEL/CASING VOLUME <br /> Description Depth Conversion Casing <br />' Time (rOC to GW) Total Depth Feet of Water Factor Volume <br /> n ^^�� {ft to als allons) <br /> Initial C.J r{(y n <br /> After Development/ -7s <br />' Purging 2r .S S <br /> At Time of ` a Three Casing Volumes s <br /> Sampling l 1 Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Submersible PLLmD Bailer ❑ Sandpiper [IOther <br /> Method 2 <br /> C--. ~ cripuon <br /> Decontamination Method lK r <br /> escnption <br /> Containmentrums ❑ Baker Tank ❑ Treatment System ❑Other <br /> Labeled <br /> Start Time Volume Water Temperature EC Observations <br /> Extracted °F/°C (umhos) PH (Color,Turbitity,Oils,Odor) <br /> I0 r , <br /> � � 2 Or <br /> SAMPLE INFORMATION <br /> Lab <br /> Sampling Containers/No of Containers Preservation <br /> 1 Liter Amber ice ❑ Other <br /> 0 ml VOA ❑ Other <br /> t E:1 Abther <br /> 1Ce ❑ Other <br /> evrce oiler Dlsgosable ❑ Other <br /> Pertinent FId Observations <br /> U___ <br /> Mons From Standard Sampling Protocol <br />