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ENGINEERING, INC. <br /> RCE#27011 LEC.#537901 <br /> 8084 Old Auburn Rd.,Suite E. Citrus Heights,CA 95610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project NameUna Job# " n n ,cg� well# -L�,L►^� - <br /> Date - �2 t' _ _ Sample ID kAV4-- <br /> Sampling Team -� <br /> Purpose of Sampling: Initial Quarterly ❑ Vertfication ❑ Other: <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Conversion Casing <br /> Description Time =(fOC to.GW)= Total.Depth_ Feet of Wafer Factor Volume <br /> I` ftto' als ailans) <br /> Initial <br /> After Development( O ` <br /> Pur 'n <br /> At Time of2� 4�r I Three Casing Volumes Gals <br /> am <br /> Slin Ten Casing Vaiumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment: P-r-Submersible Pump ❑ Bailer ❑ Sandpiper ❑ Other: <br /> u <br /> Method: 2 40 <br /> _ Llewnption <br /> Decontamination Method: <br /> Description <br /> Water Containment: [ F-Drums ❑ Baker Tank ❑ Treatment System Other: <br /> Labeled: <br /> Start Time Volu <br /> me m <br /> Water TeF Cture Observations <br /> (umpH hos) (Calor,Turbitity,Oils,'Odor).. <br /> D <br /> r ?2�J l —It rLq <br /> SAMPLE INFORMATION <br /> Lab: <br /> Sampling Containers/No.of Containers Preservation <br /> _ 1 Llter A_m <br /> I 1 Ice <br /> 40 ml VO -} XIce Other <br /> Other <br /> El.Ice , _ -- .- `i Other. <br /> Device: mailer,Disposable I Other <br /> Pertinent Feld Observations: <br /> Deviations From Standard Sampling Protocol: <br />