Laserfiche WebLink
11 LU�ENGINFEFILING, INC#27011 ' #5379U1 <br /> 808.4 Ofd Aubum Fad,Sude E, Citrus Heights CA 9610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name Job# C)R well* <br /> , <br /> Date A%-A Sample 1D -- <br /> Sampling Team -CA-- <br /> Purpose of Sampling ❑lnitiat Quarterly ❑ Verification ❑ Other ' <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME , <br /> DepthCcnvermon Casing <br /> Descriptlon Time ROC to GW) Total Depth Feet of Water Factor Volume <br /> ! - ��(( r (ft to gals) (gallonsl <br /> Initial ��.K' Lfi, . ((v <br /> After Development/ 1(p { s <br /> Purcisna Three Casirg Volumes Gals <br /> At Time of <br /> Sam lin � Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment ❑Submersible Pump Bailer ❑ Sandpiper ❑ other <br /> Method , <br /> escnpnan <br /> Decontamination Method escnption <br /> dater Containment ❑ Drums ❑ Baker Tank Cl Treatment System ❑ other ' <br /> Labeled <br /> IL KU <br /> Start Time Vofume Water I Temper re --E� P� Observations <br /> Ext ' <br /> I racted `F (umrhtos} (Calor,Turbitity,Oris,Odor) <br /> l� 0 R 4 —FE r7-1 <br /> 1405 r ?01 --10-& -1.{S <br /> 1411 r(o?) 1 2,0 —ZJ r qr t 0 <br /> SAMPLE INFORMATION <br /> Lab tr.iZ17� <br /> Sarnpiing Containers/No of Containers Preservation <br /> 7 1 Liter Amber. El ice ❑ other <br /> 40 ml VOA _ _ �?ice ❑ Other <br /> Other ❑ Ice ❑ Other <br /> Cewce V'Eailer Disposable ❑ Other <br /> Ferment f=ield Qbservatoris <br /> Cernauons From Standard Sampfing Protocol <br />