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i <br /> 1 Perk <br /> • Corporation <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> roject Name m <br /> o b TI <br /> rate — <br /> amAiin Tearn c <br /> ' (Names/Responsibilities) <br /> urpose of Sampling lnt,aluarteriy Verficatton othe, <br /> feather Conditions <br /> 1 GROUNDWATER LEVEL/CASING VOLUME <br /> Decth Total I Feetof Conversion Casrn2 Volume <br /> Time TOC to GW Denth I Water Factor I (Gallons) <br /> Initial I f <br /> After develop/ourain <br /> At time of 5amolir I j , I Three Casing Volumes _ �_ _Gals <br /> 1 Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> tuipment Swab-Atte Sub Pum Batter andpiper Other <br /> athod Desc-iption <br /> �contamrnation Method <br /> ater Containme t drums ba ker tack other- <br /> Labe <br /> therLabe <br /> Purina Vol Waler--L--Temp I EC <br /> I I Rate I Ot:servatrc�s <br /> Time i <br /> I Extrac`ed I FIC (umhos) flN I (color turbid tv oils odor) <br /> Start Lc 0i O <br /> i I I I I <br /> I i <br /> I I I I I I <br /> I I I I I I <br /> SAMPLE INFORMATION <br /> Lab <br /> 3mpling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and , <br /> -4l 40 rill Vc �-- � „ �G Ice and C.L� <br /> 7 Other ` Ice and <br /> Time / <br /> Device Disposaole 821l_rDtr)er <br /> °rtinerit Field Observations <br /> 'viatiors from Standard Sarnphng Protocol <br />