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'Ar <br /> ■i <br /> Park Ay <br /> Environmental y�y� <br /> rng A Clean Env,ronrnent <br /> ' WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Nam <br /> ' Job# <br /> Date <br /> Sam It Tem <br /> ' (Names/Responsibilities) <br /> Purpose of Sampling Initial Quarterly Verfication <br /> ' Weather Conditions Other <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> 1 beh Total Feet of Conversion C <br /> Time TOC to GW Depth assn Volume <br /> Initial Water Factor Gallons <br /> Ager deveio 1 ur in ! S — S <br /> 2,2 <br /> At time of s Rmpling <br /> Three CasingVolumes <br /> ?r Gals <br /> ' Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swats-Aire Sub Pump Bar dpiper Other <br /> Method Description �1 <br /> Decontamination Method f <br /> Water Containm t drums baker tank <br /> ' Labeled r),C-4�n � other <br /> 4 <br /> Pum Vol Water em EC <br /> ' Time Rate Extracted Observations <br /> Start �j �, f F� umbos H color,turbi lity oils odor <br /> ILIti 3 <br /> 92 <br /> } 3 <br /> ' <br /> Lab SAMPLE INFORMATION <br /> r t <br /> ' Sampling Containers/Number of Containers/Analysis Preservation Description <br /> I Liter Amber r-, Ice and <br /> 40 ml Voa <br /> Other Ice and Lam. <br /> ' Ice and <br /> Time f <br /> Device Disposable Bailer I/ Other <br /> ertinent Field Observations <br /> Deviations from Standard Sampling ProtocoE <br />