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1 A <br /> / Thk <br /> / <br /> P�jr- <br /> Corporation <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name <br /> Job# <br />' Date 2 <br /> Sam Irn T am <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial uarterl Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVEUCASING VOLUME <br />' De th Total Feet of Conversion CasinVolume <br /> Time TOC to GW De ih Water Factor <br /> Initial Gallons <br /> 'H=- <br /> p �9 o <br />' After develo I ur in <br /> At time of Sam icn <br /> Three Casing Volumes Gals <br /> Ten Casing Vofumes Gals <br /> ' WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Acre Sub Pump Bailer andpiper Other <br /> Method Description <br /> Decontamination Method r �� <br /> Water Containment drurfis baker tank <br /> Labeled other <br /> Pum Vol Water Tem I. EC <br /> Time Rate Extracted (thObservations <br /> ' Start ( I H color turbidity oils odor <br /> O <br /> 20((o <br /> ' <br /> Lab SAMPLE INFORMATION <br /> � o�ti <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> ' 1 Liter Amber Ice and <br /> 40 ml Voa tom_ Ice and c� <br /> Other Ice and <br /> ' Time <br /> Device Disposable ailer. Other <br /> eitment Field Observations <br /> Deviations from Standard Sampling Protocol <br /> r <br />