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n <br /> / PA-rk <br /> Corporation <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name U,4LL.bc <br /> Job# <br />' Date <br /> SamIIn Team ,��.5 , <br />' (Names/Responsibilities) <br /> Purpose of Sampling InitialQuarterly Verfication Other <br />' Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br />' <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial f <br /> ' After develo ! ur in <br /> At time of Sam I:n Three Casing Volumes Gals <br /> Ten Casing Volumes Gals <br /> ' WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pump Bailer dpiper Other <br /> Method Description <br /> Decontamination Method <br /> Water Containment drums Maker tank other <br /> ' Labeled <br /> Pump Vol Water Temp. AlyEC Observations <br /> Time Rate Extracted FI H calor turbidity oils odor <br /> ' Start to �- <br /> npl <br /> I 1z <br /> 1 �r <br /> 1 <br /> SAMPLE INFORMATION <br /> ' Lab <br /> v <br /> Sampling Containers/Number of Containers/Analysis Preservation Description ' <br /> _ 1 Liter Amber Ice and <br /> 4D ml V o a I -r 2=6 KkTp�� Ice and <br /> Other Ice and <br /> ' Time <br /> Device Disposable Bailer-- Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br /> 1 <br />