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n <br /> / PA�k <br /> Corporation ' <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Name f SN-S,=,� <br /> Job# <br /> Date <br /> Sampling Team <br /> (Name nsibilities) , <br /> Purpose of Sampling Initial Quarterly Verrication Other <br /> Weather Conditions , <br /> GROUNDWATER LEVELICASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW De th Water Factor Gallons <br /> Initial l05 O I <br /> After develo ! ur in ' <br /> At time of Sampling Three Casing Volumes _ _G8I5 <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING , <br /> Equipment Swab-AireZubmp Bader aper Other <br /> Methal Description 2' <br /> Decontamination Method <br /> Water Containment rums baker tank other <br /> Labeled ' <br /> Pump Vol Water Temp EC Observations <br /> Time Rate Extracted FIC umhos H color turbidi ods odor ' <br /> Start f � l <br /> D ' <br /> SAMPLE INFORMATION ' <br /> Lab � rip y,, <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> I Liter Amber Ice and ' <br /> 40 ml Voa Ice and <br /> Other Ice and <br /> Time <br /> Device Disposable Bailer Other- <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />