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ENGINEERING C. <br /> ILLU11 RCE#27011 lac #5379o1 <br /> 8084 Old Auburn Rd.Suite E. Citrus Heights,CA 95610 - <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> lett Name - _}v'C'p}.{ <br /> ,lob#_ SCao' C� Well# —t�t+-C-4 p <br /> Date t `— <br /> Sample ID fvlkf,(-4 R <br /> Sampling Team <br /> rPurpose of Sampling ❑ Initial Ouarterty ❑ Verification ❑ Other <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Conversion Cas <br /> in <br /> Description Time (rOC to GW) Tom Depth Feet of Water Factor Volume <br /> ' <br /> Initial ft to als allons) <br /> p <br /> ' Ater Development/ <br /> - � 'Ifo <br /> Purging <br /> At Time of Three Casing Volumes 3Q <br /> Gals <br /> amS <br /> Ten Casing Volumes —Gals <br /> 1EquipmentWELL DEVELOPMENT/PURGING <br /> Submersible Pump ❑ Bailer ❑ Sandpiper ❑ Other <br /> Method 2if � � <br /> ptron <br /> Decontamination Method tsip <br /> escripuon <br /> Containment Drums ❑ Baker Tank ❑ Treatment System ❑ Other <br /> Labeled <br /> Start Time Volume Water 'temperature EC H Observations <br /> Extra <br /> -Start (umbos) p (Color,Turb+trty,Ods,Odor) <br /> O 8 2� <br /> OC4 1Z 1 x,22 <br /> r2- <br /> C SAMPLE INFORMATION <br /> Lab <br /> Sampling Containers/No of Containers <br /> El 1 tater Amber Preservation <br /> L <br /> 40 ml VOA��' -} E) Ice ❑ Other <br /> ��� _ � �Ice YO Other u— <br /> Other Ice ❑ Other <br /> LJ vice Bailer,Disposable ❑ Other <br /> Pertinent Pteld Observations <br /> ns From Standard Sampling Protocol <br />