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` WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name: -YA-m t3�. Job# vv Wel!# <br /> Dates: ���-L�3_ _ Samples ID: <br /> lepling Team:_ Gc �GtJ�Z� •-ice <br /> Purpose of Sampling; ❑ Initial 9 Quarterly 0 Verification Other: <br /> Weather Conditions: <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 als. (gallons) <br /> Initial (Q . 3 vZ -23- P- • G to <br /> After deveiaprnent! <br /> Purging C33 & <br /> At Time of Three Casing Volumes! _- _ Gals <br /> Sam lin l �- Ten Casing Volumes Gals <br /> _ WELL DEVELOPMENT/PURGING <br /> Equipment: rxk Submerisible Pump ❑ Bailer ❑ Sandpiper Other: <br /> Method:._ <br /> Description <br /> Decontamination Method: rt JA <br /> Description <br /> Water Containment: ;5-Drums ❑ Baker Tank ❑' Treatment System ❑ Other: <br /> led: Y-�v <br /> Start Time Volume Water Temperature EC pH Observation <br /> Extracted °F/°C mV Color,TurbitijZ, Oils, Odor <br /> ;>-c7 o a - 3 5- CO2 <br /> /� 3 v t � .4 -7 • co <br /> -c7 P. � ` <br /> SAMPLE INFORMATION <br /> Lab: <br /> Sampling Containers/No.of Containers Preservation <br /> 0 1 Liter Amber ❑ Ice ❑ Other <br /> §�-40 m!VOA ❑ Ice D Other <br /> ❑ Other 0 Ice 0 Other <br /> Device: RF�Bailer,Disposable 0 Other_ <br /> Pertinent Observations: <br /> Deviations From Standard Sampling Protocol: <br /> GHH ENGINEERING INC. <br /> 11960 Heritage Oak Place, Suite 213, Auburn, CA. 95603(530) 886-3100 <br />