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1 n <br /> / The <br /> e Pirk <br /> Corporation � <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Name u-c <br />' Job# <br /> Date <br /> Sampling earn rLQt <br />' (Names/Responsibilities) <br /> Purpose of Sampling Initial uarterl VerTication Other <br />' Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br />' Depth Total Fest of Conversion Casin Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial 1 S 1 ,S I(o <br />' After develo 1 ur in t y <br /> At time of Sam lin Three Casing Volumes Of Gals <br /> Ten Casing Volumes Gals <br />' WELL DEVELOPMENTIPURGING <br /> Equipment Swab-Aire Sub Pum Bailerz—Sandpiper Other <br /> Method Description 2'` p <br /> Decontamination Method <br /> Water Containment rum baker tank other <br />' Labeled <br /> Purne Vol Water Tem WEC Observations <br /> ' Time Rate Extracted F H color turbidityoils odor <br /> 1 <br /> Start 1 <br /> l219 r t S <br /> 2 � 8 t <br /> ' 2Dtq <br /> 1 <br /> ' Lab _SAMPLE INFORMATION <br /> Sampling Contamers/Number of Containers/Analysis Preservation' Description 1 Liter Amber Ice and <br /> :f240 ml Voa �.r �,- Ice and_ate _ <br /> Other Ice and �— <br /> ' Time <br /> Device Disposable Bailer ✓ Other <br /> ertinenf Field Observations <br /> Deviations from Standard Sampling Protocol <br /> r <br />