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,1A, <br />,ZY �Park <br /> WE n w I r o n M e n t a l <br /> g A Clean Environment <br />' WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name 1 <br /> Job# <br /> Date <br /> Sam ing eam � <br />' (Names/Responsibilities) <br /> Purpose of Sampling initial quarters Verncation <br /> tWeather Conditions Other <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> De th Total Feet of Conversion EEC <br /> asing lume <br /> Time TOC to GW De th Water Factor <br /> Initial s <br />' After deveto ur rn <br /> At time of Sam lin � � <br /> Three Casing Volumes lqr� Gals <br />' Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pu Bailer Sandpi Other <br /> ethod Descnption <br /> econtammation Method e , <br /> Water Containm ums baker tank <br /> Labeled 2 other <br /> Pum Vol Water Tem <br />' Time Rate ExtractedF� EC Observations <br /> umhos <br /> Start I S f H cnJor,turbidity oils odor <br /> � s O <br /> --------------- <br />' <br /> Lab SAMPLE INFORMATION <br /> ►E.`QQ� <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br />' 1 Liter Amber Ice and <br /> 40 ml Voa <br /> Other Ice and <br /> Ice and <br />' Time <br /> Device Disposable 8ai1er flier <br /> vtn�ent Fi Id Obseivatio�s � � <br /> tdcl_ <br /> Deviations fr m Sta lord Sampling Protocol <br /> 1 <br />