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ENGINEERING, INC. <br /> RCE#27011 Uc.#537901 <br /> 8084 Old Auburn Rd.,Suite E, Citrus Heights,CA 95610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name -`- LOCA _ Job# Sosq r O9 Well # <br /> Date - '-'�1 — _ _ — sample ID $,A <br /> Sampling Team <br /> Purpose of Sampling: ❑ Initial N-�Ouarterty- ❑ Verification ❑ Other: <br /> Weather Conditions <br /> GROUNDWATER LEVEWCASING VOLUME <br /> Depth Conversion Casing <br /> Description Time —(TOC. -qw Total Depth Feet of Water f=actor Volume <br />— a ft-to qals alforns) <br /> Initial <br /> After Development/ <br /> Purging <br /> At Time of Three Casing Volumes Gal: <br /> Sampling1 f�� Ten Casing Volumes Gal <br /> WELL-DEVELOPMENT/PURGING <br /> Equipment: fX-Submersible Pump ❑ Sailer ❑ Sandpiper ❑ Other: <br /> Method: Q0 <br /> Description <br /> Decontamination Method: llz <br /> Description . • <br /> Water Containment: PC Drums ❑ Baker Tank ❑ Treatment System ! Other: <br /> Labeled: <br /> Start Time Volume c eadter Temperature pH Observations <br /> (umh s) (Color,Turbitity,Oils,Odor), <br /> (LOO r <br /> {ldff) -rS F <br /> - <br /> LLC)CJ <br /> L L091 9 2Di L u <br /> SAMPLE INFORMATION <br /> Sampling Containers/No.of Containers Preservation <br /> ❑,1 Lite_r_Amt�er .r-Ice -" [:.Other - - <br /> - 40 ml VOA + Ice <br /> 'Other <br /> Other �-L- <br /> ❑ Ice. - ❑ Other <br /> Device: ';�O Bailer,Disposable ❑ Other <br /> Pertinent Field Observations: <br /> Deviations From Standard Sampling Protocol: <br />