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Co <br /> -r i�arK <br /> rpnrat la >ti <br /> • WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> 'rofect Dame <br /> obi <br /> late <br /> -a olinq i eam t <br /> ' (Names/Responsibilities) <br /> urpose of Sampling lnd,al uarery Veition OtherUeather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> I Deoth Total I Feet of ( Conversion Casing Volume <br /> Time TOC to GW I Death I Wafer I Factor I (Gallons <br /> Initial k4 i LD <br /> After develop/our m ( ' <br /> ' At time of Samelin I (L( Three Casing volumes <br /> -3Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> ;uipment Swab-Aire Baiie Sandpiper Other <br /> ahad Description r'n <br /> •coritaminaftri Method T <br /> ater Containm d baker tank <br /> Labeled other <br /> Pima I Vol Water I Tema I EC <br /> Time Observations <br /> I Rate Extracted FIC I fumhos} o}� <br /> ' Start I ( I I I (color turbid oils odor <br /> 11h L I <br /> � I I <br /> I <br /> I I <br /> I I I II <br /> I <br /> SAMPLE INFORMATION <br /> Lab <br /> irnpling Containers/Number of ContainerslArlafysis Preservation Description <br /> 1 Liter Amoer---7- <br /> ��7 40 rill Voa r` I ice ano , <br /> s- Ice and <br /> -Other - Ice and <br /> Time <br /> Device wisp— c� Sable Bailer Other <br /> rtinent Field Observations <br /> ' v ations from Stancard Sampling otoccl <br />