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WELL DEVELOPMENT/SAMPLING.DOCUMENTATION FORM <br /> Project Name:. A7w&1— — -- Jab# L i S 7 Well# <br /> Dates: r1-6/— J3 Samples ID: — <br /> pling Team: )y `C�Jo>'�a -- <br /> P�pose of Sampling: ❑ Initial E—Quarterly ❑ Verification Other: <br /> Weather Conditions: 5al?4 <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Conversion Casing <br /> Description Time Depth Total Depth f=eet of Water Factor Volume <br /> OC to GW ft.to gals. allons) <br /> Initial G ?Y• <br /> After development) <br /> Pur in <br /> At Time of Three Casing Volumes • ate- Gals <br /> Sampling a Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment: $-Submerisible Pump ` ❑ Bailer ❑ Sandpiper Other: <br /> Method: vr1 _ —AL <br /> I) <br /> Decontamination Method: 73F "." <br /> Description <br /> Water Containment: Z Drums ❑ Baker Tank ❑ Treatment System 0 Other: <br /> led: <br /> Start Time Volume Water Temperature EC pH Observation <br /> Extracted OROC mV Color, Turbitily,Oils, Odor <br /> p a3 .. -3 <br /> (3l -5 ,'e-� .`� �-1 8 .9 co--7- <br /> Zi <br /> SAMPLE INFORMATION <br /> Lab: d <br /> Sampling Containers/No. of Containers Preservation <br /> ❑ 1 Liter Amber ❑ Ice © Other <br /> g,40 ml VOA ❑ Ice Cl Other <br /> ❑ Other ❑ lee . ❑ Other <br /> Device: J�Bailer, Disposable ' D Other <br /> Pertinent Observations: <br /> ations From Standard Sampling Protocol: <br /> GHH ENGINEERING INC. <br /> 119.60-Heritage Oak Place,Suite 213,Auburn, CA. 96603 (530) 886-3100 <br />