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Ni�k <br /> Corporation <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name�__,a LAW-1Q0 ' <br /> Job# ziar ` <br /> Date (C3 <br /> Sam hn Team <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial Quarterly VerFcation Other ' <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME ' <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth Water f=actor Gallons ' <br /> Initial <br /> After developleurging <br /> At time of Sampling— L 2 a Three Casing Volumes 3 Gals <br /> Ten Casing Volumes Gals ' <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pum Bailer ,Sandpiper Other ' <br /> Method Description Z'` Jr try <br /> Decontamination method "K\- �. <br /> Water Containment ms baker tank other <br /> Labeled <br /> PUME Vol Water Temp EC Observations ' <br /> Time Rate Extracted (umhos) PH color turbidi ,ods odor <br /> Start { -2 <br /> i2t Vt <br /> I tat 0 7 � <br /> 2 2. dot <br /> 1 <br /> Lab q-C2A SAMPLE INFORMATION ' <br /> Sampling Containers/Number 9 f Containers/Analysts Preservation Description 1 <br /> 1 Liter Amber/lPk.- Ice and <br /> 40 ml Voa � k kf6 iIce and <br /> Other ihD,O Ice and ' <br /> Time <br /> Device Disposable ailer%✓ Otter <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br /> 1 <br /> 1 <br />