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❑ ENGINEERING INC PAR le CHH CONSTRUCTION <br /> LIC #537901 <br /> 1 SERVICES INC <br /> LIC#608406 <br /> 8084 QLD AUBURN ROAD CITRUS HMOH73 CA 95810 8084 OLD AUBURN ROAD CITRUS F MMM CA •95810 <br /> WELL DEVELOPME_NTJSM*`t NG DOaMWAMON FORM <br /> ' PROJECT NAME LOCATION <br /> JOB# WELL # ZA 16z-- <br /> T <br /> DATE / SAMPLE ID <br /> ' SAMPLING TEAM <br /> (NAMES/RESPONSIBILITIES) <br /> ' PURPOSE OF SAMPLING ❑INITIAL a`15UARTERLY ❑VERIFICATION [-]OTHER <br /> WEATHER CONDITIONS <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> DEPTH CONVERSION CASING <br /> TIME (TOC TO GW} TOTAL DEPTH FEET OF WATER FACTOR VOLUME <br /> ft to gals) GALS <br /> INITIAL �2 , o /1 1 . .2 <br /> AFTER DEVELOP/ <br /> PURGING <br /> AT TIME OF THREE CASING VOLUMES GALS <br /> SAMPLING <br />' 2 FIVE CASING VOLUMES GALS <br /> 1 WELL DEVELOPMENT/PURGING <br /> EQUIPMENT ❑ SWAB-AIRE 2 SUBMER&SLE PUMP ❑ BAILER ❑ SANDPIPER ❑ OTHER 22 f� <br /> MMETHOD (DESCRIBE) <br /> DECONTAMINATION METHOD <br /> WATER CONTAINMENT [RUMS [:] BAKER TANK ❑ OTHER <br />' LABELED <br /> PUMP VOL WATER TEMP EC OBSERVATIONS <br /> TIME RATE EXTRACTED F C umbos PH COLOR TURBIDITY O{LS, ODOR <br /> START 4 <br /> �5 7,Z <br /> `7 S <br />' SAMPLE INFORMATION <br /> LAB <br />' SAMPLING CONTAINERS /# OF CONTAINERS PRESERVATION <br /> LITER AMBER E�T<E ❑OTHER <br /> 2'40 ml VOA �, 4 ICE OTHER cLel--I <br />' D OTHER s's ,s4Er� `r ❑r ICE ❑OTHER <br /> E <br /> Tl til E <br /> ep <br /> EVICE [� BAILER DISPOSABLE �THER <br /> ERTINENT FIELD OBSERVATIONS <br />' DEVIATIONS FROM STANDARD SAMPLING PROTOCOL <br />