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� n <br /> Park <br /> Env r o n m e n t a l n <br /> ,ng,A Clean Environment <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Na e <br /> Job# T-- <br /> Date 15L, I <br /> Sampling eam <br />' (Names/Responsibilities) <br /> Purpose of Sampling Initial �_uartlriy <br /> Verfication Other <br /> tWeather Conditions <br /> GROUNDWATER LEVEUCASING VOLUME <br /> Depth Total Feet of Conversion easing Volume <br /> Initial Time TOC to GW Depth Water Factor Gallons <br /> ' After develo / ur in 22 �3 <br /> At time of Sam lin <br /> I 4 Three Casing Volumes 2 Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-AireSub?um f5andpiper Other <br /> Method Description <br /> Decontamination Method <br /> Water Containm rums bak r tan/kr other <br /> Labeled �,[. . } _� ?V i <br /> Pump Vol Water m EC Observations <br /> ' Time Rate Extracted ; F umhos H color turbtdrty oils odor <br /> start t / <br /> I La <br /> Lab <br /> SAMPLE INFORMATION <br /> � ,# � <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> I Liter Amber Ice and <br /> `'i 40 ml Voa Ice and I� <br /> Other Ice <br /> and <br /> Time <br /> Device Disposable BailerV' Other <br /> ' ertlnent Field Observations <br /> Deviations from Standard Sampling Protocol <br />