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� n <br /> Park <br /> Environmental <br /> uig A Clcln F wironrnerit <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Name _ ua01 <br /> Job# S <br /> Date <br /> Sam lin Team 2l5 1.�1�5� <br /> (Nam eslResponslblhttes) <br /> Purpose of Sampling Initial quarterly Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br /> Depth Total Feet of Conversion Casina Volume <br /> Time TOC to GW De th Water Factor Gallons <br /> Initial <br /> After develo 1 ur In ' 2 <br /> At time of Sampling (� Three Casing Volumes <br /> Gals <br /> Ten Casing Volumes Gals <br /> IWELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pump Bailer Sandpiper Other <br /> Method Description d <br /> M <br /> Method <br /> Water Containme rum baker tank <br /> Labeled ��,p��l},r other <br /> Pump Vol Water4Te EC Observations <br /> Time Rate Extracted (umhos }�Start y color turbidi oils 5 ,q <br /> Lab <br /> SAMPLE INFORMATION <br /> tiztLyl� <br /> Sampling Containers/Number of Containers/Analysts Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 mi Voa _ <br /> Ice and HL.L <br /> Other Ice and <br /> Time l CYL <br /> Device Disposable Bailer✓ Other <br /> rtinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />