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1 ENGINEERING, INC <br /> RCE#27011 O #537901 <br /> 8084 Old Aubum Rd Surte E Citrus Heights CA 956i 0 <br /> J& WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br />' Project Name G Job#-592a�09 Well# �Ay&19 <br /> Date :� l 9 Sample ID v.L—I <br /> Sampling Team <br /> Purpose of Sampling ❑ Initial Quarterty ❑ Verification ❑ Other <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br />' Depth Conversion Casing <br /> Description me (TOC to GW) Total Depth Feet of Water Factor Vol <br /> Time <br /> Initial <br /> ft to als I(gallons) <br /> m <br /> Puering development/ l 1 � <br /> At Time of [t7O � <br /> Three Casing Volumes `_ Gals <br /> Samplinq <br /> Ten Casing Volumes Gals <br />' WELL DEVELOPMENT/PURGING <br /> Equipment KSubmersible Pump Cl Bailer ❑ Sandpiper ❑ Other <br /> Method 'D1i-O <br /> ription <br /> tamination Method S �cPLS� <br />' Description <br /> ®r, <br /> Containment K—Drums ❑ Baker Tank ❑ Treatment System ❑Other <br /> Labeled ' <br /> A. <br />' Start Time Volume Water Temperature _>:G— H Observations <br /> Extracted (umhos) p (Color Turbitity Ods,Odor) <br /> lc) 51 22� Ir5 <br /> Lab <br /> SAMPLE INFORMATION <br /> ��w� <br /> Sampling Containers/No of Contatners Preservation <br /> 1 LiterAmber <br /> Ei <br /> ice E) Other <br /> Other <br /> VOA ?►t;— —1 Ice Other �- <br /> ❑ Other t_' Ice L� Other .` <br /> Deviceader Disposable ❑ Other <br /> Pertinent Field Observations <br /> 1�0e,atjons From Standard Sampling Protocol - - <br /> 1' <br />