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n <br /> Pj'rhe i <br /> rk <br /> Corporation <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Protect Name <br /> Job# <br /> ' Date ( I lq <br /> Sam Ern Team <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial Quarterly Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVEUCASING VOLUME <br /> ~ <br /> ------22pth Total Feet of Conversion Casinq Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial14 � Q {{d, p <br /> After develop/purging <br /> At time of Sampling A 15ra� Three Casing Volumes � Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire (SubmBailer ��dptper Other <br /> Method Description u �i 7t <br /> Recontamination Method (C r, a, e—b, <br /> ater Containme rum baker tank other <br /> Labeled �Qk,77� ` * Lz C;- [ 1 q <br /> ' Pum Val Water Tem EC Observations Nations <br /> Rate Extracted' <br /> Start umhos H color turbidityoils odor)�� � <br /> {� a <br /> [ <br /> 1z:; <br /> Lab ��QUA <br /> SAMPLE INFORMATION <br />' <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br />' n 40 ml Voa ICK- -f �c, p� Ice and <br /> Other Ice and <br />' <br /> Time _ <br /> Device Disposable Bailer+! Other <br /> Veviations <br /> Field Observations <br /> from Standard Sampling Protocol <br /> i <br />