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WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name: f') /�' Job# -576 7 Well# <br /> Dates: 3 -13- 3 Samples ID: �`�� <br /> pling Team: 11Ll_� <br /> Pffrpose of Sampling: ❑ Initial N9 {Quarterly ❑ Verification Other: <br /> Weather Conditions: � Cr <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.) (gallons) <br /> Initial <br /> After development/ <br /> Purging = To <br /> At Time of Three Casing Volumes -fir Gals <br /> SampAing 1a.r`3� Ten Casing Volumes Gals <br /> i <br /> WELL DEVELOPMENT/PURGING <br /> Equipment: A:� S�juybmerisible Pump ❑ Bailer ❑ Sandpiper Other: <br /> Method: <br /> Description <br /> Decontamination Method: <br /> Description <br /> Water Containment: rums ❑ Baker Tank ❑ Treatment System ❑ Other: <br /> Lakeled: <br /> Start Time Volume Water Temperature EC pH Observation <br /> Extracted °i=/'C mV Color, Turbitity, Oils,Odor <br /> 9 gp <br /> � A <br /> SAMPLE INFORMATION <br /> Lab: �l�r��']"�t�� •� --- ,_:._,:.,., ._:_._ <br /> Sampling Containers/No. of.Containers Preservation <br /> ❑ 1 Liter Amber ❑ Ice i7 Other <br /> X40 ml VOA �C C4 _ ❑ Ice 0 Other <br /> ❑ Other ^ 0 ice ❑ other <br /> Device: ,hailer, Disposable ❑ Other <br /> Pertinent Observations: R.�2 C`1� eg_ _ov <br /> y <br /> , r <br /> tions From Standard Sampling Protocol: <br /> �v <br /> GHH ENGINEERING INC. <br /> 11960 Heritage Oak Place, Suite 213,Auburn, CA. 95603 (630) 886-3100 <br />