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YJ ' <br /> Pir" k <br /> Corporation ' <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Nam � - f-`5a.��'S, �( _ _„— i�,lv.(- <br /> Job_# '���j <br /> Date <br /> Sampling Tea <br /> (Names7ua <br /> sibllitles) ' <br /> Purpose of Sampling indial riy Vertication Other <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br /> Depth Total Feet of Conversion Cas;nq Volume <br /> Time TOC to GW De th Water Factor Gallons <br /> Initial <br /> After develo 1 ur in r ( ,S <br /> At time of Sam i ng Three Casing Volumes Gals t <br /> Ten Casing Volumes Gals <br /> WELL DEVELOP MENTJPURGING <br /> Equipment Swab-Aire �4; <br /> Bader piper Other <br /> Method Description 2�T?F�t <br /> Decontamination Method <br /> Water Containment rums baker tank other <br /> Labeled <br /> Purnip Vol Water Temp EC Observations <br /> Time Rate Extracted FIC (umhos) pH color turbidity ods odor ' <br /> Start ( <br /> (-5 <br /> Lab <br /> SAMPLE INFORMATION ' <br /> , t' <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and ' <br /> 40 ml Voa A t- Ice and <br /> Other Ice and <br /> Time ' <br /> Device Dlsp ble Bailers Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br /> 1 <br />