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A <br /> / T i1 <br /> / R' rek <br /> Corporation <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name ,� I\Aw_z <br /> Job# <br /> Date t <br /> 1 Sampling Team <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial auarte:0y Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVEUCASING VOLUME <br /> Depth Total Feet of Convers-107—F Casing Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial c <br /> After develo 1 ur m <br /> At time of Sampling Three Casing Volumes Gals <br /> Ten Casing Volumes Gals <br /> ' WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pump Bailer Sandpiper Other <br /> Method Description <br /> Decontamination Method � <br /> Water Containmentrum baker tank other <br /> Labeled <br /> Pump Vol Water I T emp EC observations <br /> Time Rate Extracted F <br /> Start umhos H color turbidity ods odor <br /> SAMPLE INFORMATION <br /> Lab - <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> I Liter Amber Ice and <br /> 40 ml Voa }t✓►t,� -rp�rti}c _ Ice and <br /> Other Ice and <br /> Time t t) <br /> Device Disposable Bailer✓ Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol _Z t o <br />