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iA <br /> iYPark <br /> Enifironrhenta1 0 <br /> g A Clean Envira.Ifr,E rt <br /> IWELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name <br /> Job# ��� <br /> Date .41 {� . <br /> Sam lin Team <br /> 1 (Names/Responsibilities) <br /> Purpose of Sampling InitialQuarterly VenicaUon <br /> Weather Conditions other <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> t7e th TotalrFeetofConversionTime TOC to GW Casin Volume <br /> De th FactorGalloInitial -44,t� S-?,pAfter develo / ur in �L((At time of Sam linasing Volumes = r Gals <br /> asing Volumes Gals <br /> WELL DEVELOPMENTIPURGING <br /> Equipment Swab-Aire Sub Pump Bailer <br /> � -we r--fiandpiper Other <br /> ethod Description -- <br /> econtamination Method Ick <br /> Water Containment drums <br /> Labeled ]��� } f (� �1 bakertank other <br /> 1� �;-�� <br /> Pum Vol Water Tem EC <br /> ' <br /> Time Rate Extracted nh <br /> /C hos Observations <br /> Start ` - ` D calor turbrdi oils odor <br /> ,� H <br /> C A}� Q5 �-l <br /> LabSAMPLE INFORMATION <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> _ 1 Liter Amber Ice and <br /> 40 mi <br /> Other Voa �' �,�, �. C- Ice and NC <br /> Ice and <br /> Time 42 <br /> � Device Disposable Sailer v-- Other <br /> rtinent Field Observations <br /> ' Deviations from Standard Sampling Protocol <br />