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ENGINEERING INC P,4�2� GHx CONSTRUCTION <br /> ❑; ,, EJC #537901 ❑ SERVICES INC <br /> r LIC#60B406 <br /> 8084 OLD AUBURN ROAD CCtRt1S H&ICHM CA 95610 1 Y V. 8084 OLD AUBURN ROAD CITRUS EUGHT9 CA 95810 <br /> WELL DEVELOPMENTJSAMPLIVG DOCUMENTATION FORM <br /> PROJECT NAME LOCATION <br /> JOB# _ WELL # -- _/IA P <br /> DATE SAMPLE ID SAMPLING TEAM / /,�/L V <br /> (NAMES/RESPONSIBILITIES) <br /> PURPOSE OF SAMPLING []INITIAL QUARTERLY ❑VERIFICATION ❑OTHER <br /> WEATHER CONDITIONS ,EA/o <br /> r GROUNDWATER LEVEL/CASING VOLUME <br /> DEPTH I CONVERSION CASING <br /> TIME (TOC TO GW) TOTAL DEPTH FEET OF WATER ft �AoCTaR VOLUME <br /> GALS <br /> ' INITIAL "7/ . .5 <br /> AFTER DEVELOP/ <br /> PURGING �- o <br /> AT TIME OF THREE CASING VOLUMES .5- 0 GALS <br /> ' SAMPLING <br /> FIVE CASING VOLUMES GALS <br /> rWELL DEVELOPMENT/PURGING <br /> EQUIPMENT ❑ SWAB-AfRE ®-SUBMERSIBLE PUMP ❑ BAILER ❑ SANDPIPER ❑ OTHER r� <br /> METHOD (DESCRIBE) <br /> ISDECONTAMINATION METHOD <br /> WATER CONTAINMENT ® DRUMS BAKER TANK ❑ OTHER <br /> ' LABELED <br /> PUMP VOL WATER TEMP EC OBSERVATIONS <br /> TIME RATE EXTRACTED F 'C Umhas pH COLOR TURBIDITY OILS, ODOR <br /> ' START e&I 5yG 10(, <br /> 9 67, 6 A.-� 4!5- <br /> ti / / 2.6o <br /> ' o v� <br /> r <br /> rSAMPLE INFORMATION <br /> LAB _- S I1L A e74 <br /> rSAMPLING CONTAINERS OF CONTAINERS PRESERVATION <br /> [?'I LITER AMBER I - T�� - A YCE ❑OTHER <br /> [�/40 m VOA - -7P/� v --/ F'-,r� EfICE ['OTHER <br /> BOTHER c>�,6—« ,k i_- �+ c� ? L/2 ! D-fci: ❑OTHER -� <br /> T � <br /> IME a"'' <br /> f&EVICE Ea"_BAILER DISPOSABLE E�OT�lER <br /> rPERTINENT FIELD OBSERVATIONS <br />' DEVIATIONS FROM STANDARD SAMPLING PROTOCCL <br />