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ENGINEERING, INC. <br /> RCE#27011 Lic.#537901 <br /> 8084 Old Auburn Rd.,Suite E, Citrus Heights,CA 95610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name �q Job# Well# T*AV4-LO <br /> Date 4 i Sample ID_µ4-C,---- -- <br /> Sampling Team <br /> Purpose of Sampling: i_! Initial Quarterly ❑ Verification ❑ Other: <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> s <br /> Depth Conversion Casing <br /> Description Time_ TOG`to'G - <br /> _, yy]=Total.Depth— FeeE of Water FactorVolume <br /> (ft'to'afs] allonsl <br /> Initial1 I� Sir d 2 lC� 2 S <br /> After Development/ t .z <br /> PurgingrY' r <br /> At Time ofThree Casing Volumes �'S Gals <br /> Sampling Q��- A 1,2`S <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING <br /> Equipment: XSubmersible Pump ❑ Bailer ❑ Sandpiper ❑ Other: <br /> Method. 2�a 12evt�i <br /> cnptron . <br /> Decontamination Method:�� ��u*Ls�.. <br /> escnption _ <br /> Water Containment: Dnams BakerTank <br /> El <br /> System Other: <br /> Labeled: <br /> Start Time Volume Water Tempe re - Observations <br /> Extracted eF C (umpH hos) _ (Color,Turbitity,Oils.Odor) <br /> i Ca 1241 k 22 , <br /> L 2r S r ,�-�' r <br /> t 5 <br /> r rU <br /> SAMPLE INFORMATION <br /> Lab: <br /> Sampling Containers/No.of Containers Preservation <br /> 1 Liter.Amber - - LJ Ice ❑ Other - -- --- <br /> 40 ml VOA -+- r `C 2�lce Other �L <br /> w Other. <br /> ❑.Ice Ej Other: -- <br /> Device: ,Bailer,Disposable Other <br /> Pertinent Field Observations: <br /> Deviations From Standard Sampling Protocol: <br />