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I'Ar .t �+ <br /> Park <br /> Environmental <br /> ng A Clean Environment <br /> 1 WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name' �a Job# ^`� <br /> Date <br /> Sam Itn earn <br /> (Names/Responsibilities) <br /> Purpose of Sampling InitialVertication other <br />' Weather Conditions Quarterly <br /> GROUNDWATER LEVELICASING VOLUME <br /> De th Total Feet of Conversion Casinu Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial <br /> After develo / ur in <br /> At time of Sam ling Three Casing Volumes 25�� Gals <br /> ' I Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pump U ailer ftdptper Other <br /> ethod Descnption t � <br /> Decontamination M hod (C ( f <br /> ' Water Contalnme t , "iirurhs ( { bakel tank other <br /> Labeled <br /> Pump Vol Water Temp EC Observations <br /> ' <br /> Time Rate Extracted r FI umhos H color turbldi oils,ador <br /> Start Loll-1-1 D <br /> Icy <br /> ------------- <br /> ' SAMPLE INFORMATION <br /> Lab t <br /> ' Sampling Containers/Number of Containers/Analysis Preservation Descriptton <br /> 9 Liter Amber Ice and <br /> 40 mi Voa1 — �e _ _ Ice and <br /> Other Ice and <br /> Time <br /> Device Disposable Bailer vl__� Other <br /> ertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />