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Pak <br /> Corporation <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Name <br /> Job# - r <br /> Date If 2-14 4---A- <br /> Sam lin Team <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial Quarter) Verrication <br /> Weather Conditions Other <br /> GROUNDWATER LEVEUCASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial RXI t2 ez <br /> r <br /> After develo 1 ur in <br /> At time of Sampling �� Three Casing Volumes <br /> Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pump Bailerdptper Other <br /> Method Description 2° � v <br /> Decontamination Method — <br /> Water Containment rums other baker tank <br /> Labeled ��� >��� t a� <br /> 1Pump ol Water Tem � EC Observations <br /> Start <br /> JR Rate Extracted <br /> H color turbidityoils odor <br /> ct . mac [r'T' cl <br /> 20�t -40, x .20 <br /> 03o Z[. -ID l a t <br /> Lab <br /> SAMPLE INFORMATION <br /> ,i<� <br /> Sampling Containers/Number of Containers/Analysis Preservation <br /> —4.1 Liter Ambe Description <br /> Ece and <br />' 40 ml Voa _ ,�- .t x Ice and <br /> Other Ice and <br /> Time _ <br /> Device Disposable Bailer Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />