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WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name:_ j'yl F�12 _ glob# .7 6 '? Well# <br /> Dates: Samples ID: <br /> Ipiing Team 44 L?,--\Orpose of Sampling: ;a Initial A_Quarterly ❑ Verification Other: <br /> Weather Conditions: t�v <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Conversion Casing <br /> Description Time Depth Total Depth Feet of Water Factor Volume <br /> TOC to GW ft. to geasi.. allons <br /> Initial �:J ' b 3 O t •cc�a '7 <br /> After development/ <br /> Purging G S. (03 <br /> At Time of Three Casing Volumes Gais <br /> Sampling Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment: �LSubmerisible Pump C] Baiter ❑ Sandpiper Other: <br /> Method; ( 410vi <br /> T r, Description - - - --- - - <br /> Decontamination Method, )%� <br /> Description <br /> Water Containment; X-Drurns, ❑ Baker Tank ❑ Treatment System ❑ Other: <br /> pled: - <br /> Start Time Volume Water Temperature EC pH Observation <br /> Extracted °F/°C mV Color,Turbitity, Oils Odor <br /> 5 <br /> Lab: SAMPLE INFORMATION <br /> u ��`�� <br /> Sampling Containers/No. of Containers Preservation <br /> ❑ 1 Liter Amber s ❑ Ice ❑ Other <br /> &40 mi VOA )CCO H U, _ _ ❑ Ice ❑ Other <br /> ❑ Other C Ice ❑ Other <br /> Device: t�-Bailer, Disposable 0 Other <br /> Pertinent Observations: <br /> tions From Standard Sampling Protocol: <br /> GHH ENGINEERING INC. <br /> 11960 Heritage Oast Place, Suite 2B, Auburn, CA. 95603 (530) 886-3100 <br />