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n <br /> 1 k <br /> PAr. <br /> C or p o r at i on <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name !a61s, <br /> Job# <br /> t Date r <br /> Sam fin Team <br />' (Names/Responsibilities) <br /> Purpose of Sampling Initial uarterty Veriicahon Other <br /> Weather Conditions <br /> ' GROUNDWATER LEVEL/CASING VOLUME <br /> ' <br /> Depth Total Feet of Conversion Casino Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial lam- E�c .1 3 <br /> ' After develop/purgingkt! S <br /> Attime ofSam lin It �, Three Casing Volumes Gals <br /> Ten Casing Volumes Gals <br /> ' WELL DEVELOPMENT/PURGING <br /> Equipment Swab-AcreSfbPumpBailer Sandpiper Other <br /> Method Description 2" <br /> Decontamination Method t <br /> Water Containment ums baker tank other <br /> Labeled <br /> ' <br /> Pump Vol Water Temp EC <br /> Observations <br /> Time Rate Extracted F C N color turbidity oils odor <br /> ' Start llj 1 -3.4 <br /> q <br /> tl13 Ht ` S ll <br /> I I —ZS x,44 <br /> ' a �8 <br /> Lab <br /> SAMPLE INFORMATION <br /> ' tc�p� <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> ' 1 Liter Amber Ice and <br /> 40 ml Voa Ice and rl� <br /> Other Ice and <br /> ' <br /> Time <br /> Device Disposable Bailer ✓ Other <br /> PPertinent Field Observations <br /> Devtations from Standard Sampling Protocol <br />