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t r i- am <br /> C o r p o r a t i o n <br /> ' WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> rod e Ct Name <br /> i b OZ3 <br /> ate "l <br /> amo Ina Team _ <br /> (Names/Responsibilities) <br /> 1 jipose of Sampling India[ uarteriy Verfication Other <br /> leather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Death Total Feet of Conversion I Casing Vaiume <br /> Time TOC to GW Death Water Factor I (Gallons) <br /> ' <br /> Initial 2 tO I S I ISS <br /> After develoolpur ing 75 <br /> At time of Sampling t S Three Casing Volumes 4G S Gals <br /> II Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING <br /> sipment Swab--Aire Sub Pum Bader Sandpiper Other <br /> thud Description za <br /> .ontammatfon Method <br /> 1 der Containm rum Maker tank <br /> Labeied other <br /> V �r <br /> Pump Vot Water Temo EC -.servations <br /> Time Rate I ExtractedF!C (umhos) ( off (colpr tJrbid oils odor <br /> Start I I I % <br /> 1i <br /> I I I <br /> I <br /> I i � <br /> Lab <br /> SAMPLE INFORMATION <br /> t <br /> rpling Cortairle z,/N1umber of Contain erS/,-knaiys�s Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 ml Voa — ice and <br /> —Other Ice and <br /> ' Time <br /> • Device Disposaole uallerl----� Other <br /> tlrlent f=ield ODservaticns <br /> Mations from S,ancard Sampling Protocol <br />