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n The <br /> / pjrk <br /> Corporation <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Name , <br /> Job# <br /> Date 1 ' <br /> Sam lin Team <br /> (Names/Responsibilities) , <br /> Purpose of Sampling Initialuarterly Vefication Other <br /> Weather Conditions <br /> GROUNDWATEWI:EVEDCASING-VOLUME ' <br /> Depth Total Feet of Conversion Casirti Volume <br /> Initial <br /> TOC to GW Depth Water Factor Gallons <br /> , 1{0 <br /> After develo / ur , <br /> At time of Samp=lingr Three Casing Volumes Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING ' <br /> Equipment Swat-Aire Sub Pum Bailer andpiper Other <br /> Method Description n 2 t D <br /> Decontamination Method M <br /> Water Containment drums baker tank other <br /> Labeled <br /> Pump Vol Water Tem EC Observations <br /> Time Rate Extracted F/ H color turbidi oils odor <br /> Start '� r , , <br /> 12 S 8r5" <br /> �2 .14 <br /> 20r � <br /> 1 <br /> Lab <br /> SAMPLE INFORMATION 1 <br /> t <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and - 1 <br /> 40 ml Voa �— .t Ice and <br /> Other Ice and <br /> Time <br /> Device Disposable Bader, Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br /> L <br />