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/ PA�k <br /> Carparation <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Protect Name <br /> Job# SCE2aS <br /> Date t ' <br /> Sampling -ream' HLiS Pry <br /> (Names/Responsibilities) ' <br /> Purpose of Sampling initial fluarterty Verfication Other <br /> Weather Conditions , <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume ' <br /> Time TOG to GW De th Water Factor Gallons <br /> Initialclr I �1 <br /> After develop/purging t 12O 4,2 qa , <br /> At time of Sampling Three Casing Volumes Q Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING ' <br /> Equipment Swab-Aire ub Pump Bailer Sandpiper Other <br /> Method Description <br /> Decontamination Method <br /> Water Containment baker tank other <br /> Labeledl�- 1 t ' <br /> Pump Vol Water Tern EC Observations <br /> Time Rate Extracted F C H color turbidityoils odor ' <br /> Start {to I , <br /> L l t 2 11-4--+ {O (p l t r2 -2,Q [P, <br /> - <br /> LabSAMPLE INFORMATION 1 <br /> _ Y � <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 ml Voa Ice and r},� <br /> Other Ice and <br /> Time ' <br /> Device Disposable Bailer,,— Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br /> ti <br />