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A <br /> YJ Pirek <br /> [ orporat �an <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> f <br /> Project Name t_ �r� <br /> Job # <br /> Date (n 11 194, ' <br /> Sampllng Teach tLS �*�o5t1 4� <br /> (Names/Responsibilities) <br /> Purpose of Sampling initial Quarterly Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVEUCASINGwVOLUME <br /> De h Total Feet of Conversion Casin Volume <br /> Time TOC to GW De th Water Factor Gallons <br /> Initial (n4 ,:q �C <br /> After develo I ur in I 4- ' <br /> At time of Sampling -4Z Three Casing Volumes Q Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTlPURGING <br /> Equipment Swab-Aire Sub Pump Baiter andpiper Other <br /> Method Description u Vt <br /> Decontammatmn Method ��f? } I E r•rr;« <br /> Water Containme ru s baker tank other <br /> Labeled �,..f.�-r K7 I 1aC, <br /> Pump Vol Water Temp EC Observations <br /> Time Rate Extracted ( C umhos 4i color,turbidity oils odor <br /> start t (fin. <br /> i ur <br /> 1 <br /> Lab <br /> SAMPLE INFORMATION <br /> _ _ ����21� ' <br /> Sampling Containers/Number of ContainerslAnalysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 ml Voa P�—.h TP77-sc ZIE.4- Ice and <br /> Other Ice and <br /> Time ' <br /> Device Disposable Bailer�' Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br /> - � r <br />