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ENGINEERING, INC. <br /> RCE#27011 Uc.0537901 <br /> 5084 Old Auburn Rd.,Suite E, Citrus Heights,CA 95610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name un-A" Loot Job# <02 09 Well <br /> Date. �t tct .. _ Sample,ID <br /> Sampling Team <br /> Purpose of Sampling: ! Initial E�' Ouarterty ❑ Verification ❑ Other: <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Conversion Casing <br /> Description Tme==(TOC'to'GW )=Total.-Depth= Peet.of.Water— Factor Volume <br /> ft togals) (gallons) <br /> Initial .�'.}.a�} $"2o r 1(lo 3 <br /> After Development/ �r3o rci <br /> Pur in Three Casing Volumes Gals <br /> Sampling �`t <br /> At Time of 1 �_,I 4C) r-J <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment: ❑Submersible Pump XSailer C Sandpiper ❑ Other: <br /> Method: <br /> Descnptfon <br /> Decontamination Method: ' ✓'�� - <br /> Description" <br /> Water Containment: J�vDrums ❑ Baker Tank ❑ Treatment System Other: <br /> 1 Labeled: <br /> Start Time Volume Water Tempe,%ture H Observations <br /> Extracted °l= (umhos) p (Color,Turbitity,Oils,Odor) <br /> 12S{ - = <br /> {a , [ L{o, 6r(OL <br /> SAMPLE INFORMATION <br /> - Lab: �-�- <br /> Sampling Containers/No.of Containers Preservation <br /> - ^ -t Liter Amber ! Ice i Other - -- - <br /> �40 ml VOA tri- } X _e IOther 4�' <br /> Other <br /> _ - - t— Ice-._„ .,. _,J.Other. -- <br /> Device: �?:$ailer,Disposable El Other <br /> Pertinent Field Observations: <br /> Deviations From Standard Sampling Protocol: <br />