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WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name: Alob Well# <br /> Dates: —1 —rJ`3 Samples ID: rnw <br /> ppiing Team:_ 41L <br /> ose of Sampling: ❑ Initial ;X Quarterly ❑ Verification Other: <br /> Weather Conditions: o /`Ccs. L <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Conversion Casing <br /> Description Time Depth Total Depth Feet of Water Factor Volume <br /> TOC to GW ft. togals.) ailons <br /> Initialv 7 ,�� t <br /> After development! <br /> Pur in :�2 3' <br /> At Time of j Three Casing Volumes Gals <br /> ISampling Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment: _"ubmerisible Pump ❑ Bailer ❑ Sandpiper Other: <br /> Method: R Q-d ; ��t �-� <br /> I Description <br /> Decontamination Method: l�?I e , <br /> Description - <br /> Water Containment: r Drums la Baker Tank ❑ Treatment System ❑ Other: <br /> Laakeled: <br /> Start Time Volume Water Temperature EC pH Observation <br /> Extracted OF/QC mV Color, Turbiti , Oils, Odor <br /> 9 I . Q ,- � X7. 3 IS r <br /> w <br /> SAMPLE INFORMATION <br /> Lab: <br /> Sampling Containers/No. of Containers Preservation <br /> ❑ 1 Liter Amber ❑ Ice ❑ Other <br /> $,40 ml VOA t, if - ❑ Ice ❑ Other <br /> ❑ Other ❑ Ice 0 Other <br /> Device: 1,Bailer, Disposable ❑ Other <br /> Pertinent Observations: _ <br /> lions From Standard Sampling Protocol: <br /> GHH ENGINEERING INC. <br /> 11960 Heritage Oak Place, Suite 28, Auburn, CA. 95603 (530) 886.3100 <br />