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1ENGINEERING <br /> RCE#27011 Uc #537901 <br /> 8084 Old Auburn Rd,SuRe E Citrus Heights,CA 95610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br />' oleo Name - LrC Jot?# Well# KAL--Z <br /> Date Sample 1D - <br /> Sampling Team <br /> Purpose of Sampling ❑ Initial Quarterly ❑ Verification ❑ Other <br /> Weather Conditions <br /> iGROUNDWATER LEVEL/CASING VOLUME <br /> Description 'rime Depth Conversion Casing <br />' initial (rOC to GVY) Total Depth Feet of Water (ft a als) Volume <br /> After Development/ <br />' At En <br /> At Time of Three Casing Volumes Gals <br /> Sam lin <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment ❑Submersible Pump ❑ Bailer ❑ Sandpiper ❑ Other <br /> Method <br /> cnpLon <br /> Decontamination Method <br /> ascription ff <br /> Je <br /> Containment ❑ Drums ❑ Baker Tank ❑ Treatment <br /> System ❑ Other <br /> Labeled <br />' Start TimeVolume Water Temperature EC Observatons <br /> Eked °F/°C (umbos) pH (Color,Turbitity,Oils,Odor) <br /> r <br /> i <br />' INFORMATION <br /> Lab SAMPLE INFO <br /> c�¢.p. - N <br /> Sampling Containers/No of Containers Preservation <br /> ❑ 1 Liter Amber ice ❑ Other <br /> 40 ml VD t <br /> Other ce ❑ Other <br /> Ice ❑ Other <br /> Device Bailer,Disposable ❑ Other <br /> Pertinent Feld Observations <br /> ons From Standard Sampling Protocol <br /> 1 <br /> i <br />