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LIU 11 ENGINEERING, INC ' <br /> RCI~#27011 LC #537901 <br /> 8084 Old Auburn Rd,Suite E, Citrus Heights,CA 55610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM ' <br /> Project Name Jcb# Well# <br /> Date Sample ID <br /> Sampling Team <br /> Purpose of Sampling ❑ Initial ❑ Quarterly ❑ Venffcat,on ❑ Other , <br /> Weather Condition <br /> GROUNDWATER LEVEL/CASING VOLUME ' <br /> Description 'rime Depth Conversion Casing <br /> (TOC to GW) Total Depth Feet of Water Factor Volume <br /> to". S) allonsAft —� <br /> puerran <br /> igevelapment/ vr 00 <br /> At Time of Three Casing Volumes Gals ' <br /> Sampling Ten Casing Volumes Gals <br /> ,Equipment WELL DEVELOPMENT/PURGING❑Submersible Pump ❑ Sailer ❑ Sandpiper ❑ Other <br /> Method ' <br /> cnption <br /> Decontamination Method <br /> scnption <br /> Water Containment ❑ grams ❑ Baker Tank El Treatment System ❑ Other <br /> Labeled <br /> Start Time Volume Water Temperature EC Observations ' <br /> Extracted 'FPC (umhos) pH <br /> (Color,Turbitity oils Odor) <br /> SAMPLE INFORMATION <br /> Lata <br /> Sampling Containers/No of Containers Preservation <br /> t7— 1 Liter Amber <br /> 40 ml VOA El ice ❑ Other <br /> ❑ <br /> ❑ Other ❑ ice El Other <br /> El Ice El Other <br /> Device C3Bailer,Disposable ❑ Other <br /> Pertinent Field Observations <br /> Deviations From Standard Sampling Protocol • <br />