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P�ire* <br /> Corporation <br /> WELL DEVELOPMENTISAMPLIN <br /> G DOCUMENTATION FORM <br /> Protect Name <br /> Job# <br /> Date <br /> Sam Irn Team ' <br /> (Names/Responsibilities) <br /> Purpose of Sampling InitialQuarte Verrication ' <br /> Weather Conditions Other <br /> GROUNDWATER LEVELICASING VOLUME <br /> De th Total Feet of Conversion <br /> Time TOC to GW Casin Volume , <br /> De th Water Factor Gallons <br /> Initial { � _ <br /> After develo / urging ( S <br /> At time of Sam lin 2 i <br /> Three Casing Volumes Gals ' <br /> Ten Casing Volumes Gels <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Acre b PuMp Bailer -Sandpiper Other <br /> Method Description 2r <br /> Decontamination Method 2A� <br /> Water Contarnme rums <br /> Labeled_ t Z4ker tank other <br /> J <br /> Pum Vol Water Tem EC <br /> Start Time Rate Extracted F C Observations <br /> I color turbidc oils odor <br /> {�70� ,r <br /> -s tD <br /> SAMPLE INFORMATION <br /> N <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> �— I Liter Amber'----' <br /> p <br /> 40 ml Voa ice and <br /> Other Ice and <br /> Ice and <br /> Time _ / <br /> Device Disp Ibas eo Bailer - Other ' <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />