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A <br /> / Niek <br />' Corporation <br /> • WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br />' Project Name <br /> Job# S5=2ZLT1' Date <br /> Sam hn Team S <br /> (Names/Res onslbilities) <br /> rte <br /> Purpose of Sampling India] Quariy Vertcation Other <br /> Weather Conditions <br /> ' GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to QW Depth Water Factor Gallons <br /> Initial , �..x��o E(d ,fpS IO.S <br /> ' After develo 1 ur in <br /> At time of Sampling Three Casing Volumes 3 l Gals <br /> Ten Casing Volumes Gals <br /> ' WELL DEVELOPMENTIPURGING <br /> Equipment Swab-AireSub P ader,,Sandpiper Other <br /> Method Description <br /> decontamination Method <br /> Water Containm drums baker tank other <br /> Labeled <br /> ' Pum Vol Water Tem EC <br /> Observations <br /> Time Rate Extracted FIC umhas H color turbidityoils odor <br /> ' Start la U ��� <br /> G <br /> Z � I <br /> l <br /> SAMPLE INFORMATION <br /> ' Lab tom, <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> ' 1 Liter Amber Ice and <br /> 40 ml Vo Ice and <br /> Other Ice and <br /> ' Time _ <br /> Device DisposableBailer✓ Other <br /> �ertinent Field Observations <br /> ' Deviations from Standard Sampling Protocol! <br />