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n � <br /> / The <br /> p rk <br /> / <br /> [ arP0raticn <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Protect Name t �.` <br /> Job# - - <br /> Date , <br /> Sampling Team �U <br /> (Names/Responsibilities) ' <br /> Purpose of Sampling Initial artedly Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br /> Depth Total Feet of Conversion Casin Volume , <br /> Time TOC to GWDe th Water Factor Gallons <br /> Initial � � <br /> After develop/purging <br /> r <br /> At time of Sam lin I'-t Three Casing Volumes Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING ' <br /> Equipment Swab-Aire Sub Pump Bailer Sandpiper Other <br /> Method Description <br /> Decontamination Method L t <br /> Water Containment drums baker tank <br /> other <br /> Labeled <br /> Pum Vol Water Tem �..11r EC Observations <br /> Time Rate Extracted F C H color turbidityoils odor ' <br /> Start 1 <br /> c7,124 <br /> ly2 <br /> Lab t e:32Jz.A, SAMPLE INFORMATION ' <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 3 40 ml Voa �_ �r� n),Zr� Ice and <br /> Other �-"' `'�-- <br /> Ice and <br /> Time ' <br /> Device Disposable aper✓ Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br /> t <br />