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n <br /> Ni�k <br /> Corporation ' <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name Lt? <br /> Job# <br /> Date <br /> Sampling Team J <br /> {Names) sibillties) ' <br /> Purpose of Sampling Initial uarterly Verfcation Other <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW De th Water Factor Gallons <br /> Initial L 2 <br /> m <br /> After develo / ur ZS ' <br /> At time of Sampling Three Casing Volumes t Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING <br /> Equipment Swab-Aire Sub Pump Bailer Sandpiper Other <br /> Method Description <br /> Decontamination Method ���ble, <br /> Water Containment dru s tank other <br /> Labeled <br /> PUME Vol Water Temp EC Observations <br /> Time Rate Extracted FIC umhos H (coior turbidityoils odor) ' <br /> Stag �' <br /> i�3 <br /> r (CJ <br /> Lab <br /> SAMPLE INFORMATION ' <br /> � <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and ' <br /> 40 ml Vo - —F I Ice and <br /> Other Ice and <br /> Time � , <br /> Device Disposable Bailer Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol v <br />