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n <br /> P*ek <br /> C o r p a r a t i o n <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM4 <br /> Project Name IAe x w- �r-�-,, _ <br /> Job# QTS _ <br /> Date I i[ pz ' <br /> Sam Iln Team QLc, <br /> (Names/Responsibilities) ' <br /> Purpose of Sampling Initialuarterly Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVELICASINGmVOLUME - --- - - - , <br /> Time <br /> De h Total Feet of asing Volume 'Initial TQC to GW Depth Water Factor Gallons <br /> After develop/purqina evvl <br /> At time of Sampling (C y�, Three Casing Volumes ' <br /> Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING ' <br /> Swab-Aire u <br /> Equipment Sb Pum <br /> p Bader Sandpiper Other <br /> Method Description <br /> Decontamination Method {Gpt ti(�w di <br /> Water Containment drums baker tank <br /> Labeled other <br /> Pum Vol Water Tem EC ' <br /> Time Observations <br /> Rate Extracted /F C <br /> Start I <br /> umbos H color turbidity ods,odor <br /> ll <br /> 1 <br /> Lab <br /> SAMPLE INFORMATION <br /> ,��,.,�v� <br /> Sampling Containers/Number of Containers/Anal sis <br /> i Liter Amber Y Preservation Description <br /> Ice and , <br /> � 40 m! Voa Gi.-� � Ice and <br /> Other Ice and <br /> Time , <br /> Device Disposable ailer Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />