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� Park, <br /> Env ironraen%;A <br /> Leaving A Clein Environment ' <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Na <br /> Job# <br /> Date <br /> Sam lin Team l <br /> (Names/Responsibilities) <br /> Purpose of Sampling initiat Quarterly Ver icatlon Other <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> De lh Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial <br /> After develn ! ur in <br /> At time of sampling ( Three Casing Volumes 22,S Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire ESubum iatler Sa dpiper Other <br /> Method Description 2` <br /> Decontamination Method <br /> Water Contalnm drumsbaker tank other <br /> Labeled <br /> —u <br /> Pump Vol Water ±:T:emp EC Observations <br /> Time Rate Extracted 1C umhos H color turbid!ty oils odor <br /> Start 9 QaTl� <br /> i <br /> SAMPLE INFORMATION <br /> Lab <br /> Sampling Containers/Number of ContainersJAnalysis Preservation Description <br /> I Liter Amber Ice and <br /> 40 ml Voa t Ice and 1 <br /> Other Ice and <br /> Time <br /> Device Disposable Ballery Other <br /> Pertinent Field Observations <br /> Devlatio s from Standard Sarzipling Protocol <br />