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/ e <br /> / <br /> PirK <br /> ' Cor Po rat ion <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name S4. �, � ,�_� <br /> Job# S <br /> Date <br /> Sampling Team <br /> ' (Names/Res sibilities) <br /> Purpose of Sampling Initial Quarterly Verticatson 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 /> Initiali S <br /> After develo / ur in 9 <br /> At time of Sampling Q ( Three Casing Volumes [ Gals <br /> Ten Casing Volumes Gals <br />' WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Acre Sub Pump Bailer�Sandpiper Other <br /> Swethod Description �+ <br /> econtamcnatcon Method <br /> Water Containmentrums baker tank other <br /> Labeled <br /> Pump Vol Water Temp EC Observations <br /> Time Rate Extracted FIC (umhos) (color turbidity oils odor <br /> Start <br /> 10� t � <br /> o 1-20 <br /> 1 <br />' <br /> Lab SAMPLE INFORMATION <br /> t�QA <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 ml Vo - -E- Ice and c t� <br /> Other Ice and <br /> Time <br /> Device Disposable Bailer Other <br /> 0'erfrnent Field Observations <br /> —Deviations from Standard Sampling Protocol <br />