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ENGINEERING, INC <br /> RCE#27011 Lrc #537901 <br /> 6064 Old Aubum Rd,Sude E Citrus Heights CA 55610 ' <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM tie <br /> Project Name �.�►� job.# Ste•09 Well# _jam Z ' <br /> Date— t�a Sample ID 1hAVA Z <br /> Sampling Team <br /> Purpose of Sampling ❑ Initial Y�Quarterly ❑ Verification ❑ Other <br /> Weather Conditions <br /> GROUNDWATER LEVEWCASING VOLUME <br /> Depth Conversion Casing ' <br /> Description Time (TOC to GW) Total Depth Feet of Water Factor Volume <br /> ft togals) (gallons) <br /> Initial o,s S a k �{p <br /> After Development/ 1770 ! _b 5 ' <br /> Pur in l9 At Time of Three Casing Volumes Gals <br />� rr __ <br /> Sampling { l� Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment ❑Submersible Pump X Bailer ❑ Sandpiper ❑ Other <br /> Methodep ' <br /> nption <br /> Decontamination Methode. <br /> Description <br /> Water Containment NCDrum,s ❑ Baker Tank ❑ Treatment System 7-!Other <br /> Labeled <br /> Volume Water Tem rature _—E+� <br /> Stara Time Extracted e� pH Observations <br /> (umhos) (Color Turbitity Oils,Odor) <br /> I 12's Ts 01 S <br /> I 22r3 lr 4 <br /> 6 ZZr2 <br /> Lab <br /> �th. SAMPLE INFORMATION <br /> 1 Liter Am <br /> Sampling Containem/No of Containers Preservation <br /> 9 Ice ❑ Other <br /> 40 ml VO -- �- Ice Ncother ti <br /> Other <br /> ❑ Ice ❑ Other <br /> Device >-Bailer,Disposable ❑ Other <br /> Pertinent Field Observations <br /> i <br /> Deviations From Standard Sampling Protocol <br />