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WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name: �'ff �q-L Job# S-7 43 Well # <br /> Dates: `�r1 —� 3 Samples ID: �,J <br /> *opling Team: 171t�" <br /> k —W v r ti <br /> P ,pose of Sampling: ❑ initial quarterly ❑ 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. togals.) (gallons) <br /> initial K• O -5— <br /> After <br /> After development/ <br /> Pur in a.9-a- (p �- 0 <br /> At Time of - Three Casing Volumes /3 - 5 Gals <br /> Sampling f a S Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment: Q�-Submerisible Pump © Bailer ❑ Sandpiper Other: <br /> Method: 2 011AZA -r�lo c J <br /> Description <br /> Decontamination Method: fg i=> I/z;+tis-e <br /> Description <br /> Water Containment: rF-Drums ❑ Baker Tank D'Treatment System ❑ Other: <br /> L cled: �4 <br /> 'Start Time Volume Water Temperature EC pH Observation <br /> Extracted °F/°C mV Calor Turbitity,Olis,Odor <br /> a-I Co <br /> a i .v �-1 • -7 <br /> 2 1 l 3• �� 0- I 7�u- � 51(O F <br /> SAMPLE INFORMATION <br /> Lab: <br /> Sampling Containers/No.of Containers Preservation <br /> © 1 Liter Amber 17 Ice Cl Other <br /> X-40 ml VOA ❑ Ice ❑ Other <br /> ❑ Other ❑ Ice ❑ Other <br /> Device: Bailer, Disposable ❑ Other <br /> Pertinent Observations: <br /> [ ations From Standard Sampling Protocol: <br /> GH�ENGINEERING INC. <br /> 11960 Heritage Oak Place,Suite ZB,Auburn, CA. 95603(530) 886-3100 <br />