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A <br /> 1 � <br /> Park f <br /> Environmentalil <br /> Leaving A Clean Environment <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name ' <br /> .job# <br /> Date <br /> Sate lin eam <br /> (Names/Responsibilities) <br /> Purpose of Sampling Inittat Quarterly Verrication Other <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Total Feet of Conversson Casinu Volume <br /> Time TO t GW Depth Water Factor Gallons <br /> Initial r2 58•'Z 147,00 <br /> After devefo / ur in Gals <br /> At time of Sam lin Three Casing Volumes r <br /> Ten Casing Volumes Gals , <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire �SubP Bader r Sandpiper Other <br /> Method Description ant I-LD <br /> Decontamination Method <br /> Water Contac en rums baker tank other <br /> Labeled b <br /> Pump Vol Water —T m EC Observations <br /> Time Rate Extracted (umhos) PH c ior,turbidi ,oils,odor <br /> Start r ' <br /> ( 2 5' 2 'a <br /> SAMPLE INFORMATION <br /> Lab ¢A� <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber ice and <br /> 40 ml Voa { - h 4 _ _�E Ice and <br /> Other ice and <br /> Time <br /> Device Disposable Bailer Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />