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AF <br /> / Park,Environmenta <br /> Leaving A Clean Environment <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name_L.&i r <br /> Job# <br /> Date 4 , ! <br /> Sampling Team <br /> (Names/Responsibilities) <br /> Purpose of Sampling InitialQuarterly Verification Other ' <br /> Weather Conditions <br /> GROUNDWATER LEVELfCASING VOLUME ' <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth Water Factor Gallons ' <br /> Initial 2 I(oS <br /> After develop/purgingZ 21� <br /> At time of Sampling Three Casing Valumes ) Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING <br /> Equipment Swab-AireSub Pump Bader dpiper Other <br /> Method Description + <br /> Decontamination Method <br /> Water Containmen rum "er tank other <br /> Labeled 1 <br /> Pump Vol Water Temp EC Observations <br /> Time Rate Extracted (umhos) pH color turbidity oils odor <br /> Start <br /> SAMPLE INFORMATION <br /> Lab --- <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber tee and <br /> Ice and t=c� <br /> Other Ice and <br /> Time <br /> Device Disposable Bailer�� Other <br /> Pertinent Field Observations ^- <br /> LO <br /> -tom.—gra-�-�-s� - _ - <br /> Deviations from Standard Sampling Protocol <br />