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� ' <br /> i <br /> Po <br /> rkft <br /> ing A Clean Environment <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect,pla e t <br />' Job# '3^- <br /> Date E <br /> SamplingTeam <br /> ' (Names/Responsibilities) <br /> Purpose of Sampling Initial Quarterly Verification Other <br /> ' Weather Conditions <br /> GROUNDWATER LEVELJCASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW De h Water I Factor Gallons <br /> Initial2 .5r) <br /> After develop/purgingX,2 r <br /> At time of Sampling / 1 / Three Casing Volumes 2't Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Egwpment Swab AireSU Pu fpm ailer Sandpiper other <br /> Method Description <br /> ek <br /> Decontamination Method o � <br /> Water Containim {dru s baker tank other <br /> Labeled _eT-1 �. <br /> Pump Vol Water em FC Observations <br /> ' Time Rate ExtractedF umhos Hcalor turbrdi oils odor <br /> Start o � (� <br /> ' <br /> Lab <br /> SAMPLE INFORMATION, -� <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> I Liter Amber Ice and <br /> "7 40 ml Voa K y Ice and <br /> Rc-t-- <br /> Other Ice and <br /> ' Time <br /> Device Disposable Bailer�/ _ Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />