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/A <br /> Y4 <br /> P�!rk <br /> mental4�t <br /> ng A Clean Environment <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name r�0 <br /> Job# u` <br />' Date ter_, vz) <br /> Sam lin eam 1{p LS G <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial ZQua:rterly Vertication Other <br />' Weather Conditions <br /> GROUNDWATER LEVEUCASING VOLUME <br /> De h Total Feet of Conversion CasingVolume <br /> Time TOC to GWDepth Water Factor Gallons <br /> Initial r, ,�l I <br /> tAfter devela 1 ur in f��17 <br /> At time of Sampling 10(-Z 1{a .L( Three Casing volumes Z <br /> Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-AireSub P Bailer 5 iper Other <br /> ethod Description `4�l h-1 <br /> Decontamination Method K11- <br /> Water Containm dr ms � baker tank other <br /> 1 Labeled _i 1 ! , <br /> Pum Vol Water �(F <br /> EC <br /> Time Rate ExtractedObservations <br /> ' umhos N color turbidi oils odorStart �- Z ( p 1lR �1 <br /> ' 2 �q, Lit It t <br /> 1 <br /> Lab <br /> SAMPLE INFORMATION <br /> r <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> ' 7 Liter Amber Ice and <br /> 40 MI VoaI9K �- -rh Ice and <br /> Other � Ice and <br /> ' Time / <br /> Device Disposable Bailer Ll- Other <br /> eertinent Field Observations <br /> ' Deviations from Standard Sampling Protocol <br />