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ENGINEERING. INC. <br /> FLCE#27011 lie.8537907 <br /> 8G84 Old Rubum Rd.,1,ufta E, Ctrs Heights,CR Sao10 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Narita Jab Wall 1✓l ` <br /> Data Sam pie ID <br /> sempiing 1 earn <br /> Purpose of Same ing: ?' Initial ❑ Ouanerfy ❑ ver'frcaton ❑ Other. <br /> Weather Ccneldons <br /> GROUNDWATER LEVELJOASING VOLUME <br /> €3epthJ CcrNerslon Cassng <br /> Description � rime (r00 to(3" � 'total Depth Feet of Water ! Pactor � voiurr:e <br /> I (ft to als) ailonel <br /> initial e7 4 C <br /> After Development/ t <br /> Purdm Three Casing Volumes <br /> At Time of �2 ` <br /> Samping Ten Casing Volumes izals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment: ❑Submersible Fump �8aller ❑ Sandpiper C3 Cher: <br /> Meftoc3: GG <br /> i escnpUon <br />} 0'gcontarnlnailon Method: t <br /> 6 Vescriptlon <br /> Water Ccntahmenl: Drums ❑ Baker Tank ❑ Treatment System C3 Other. <br />( Labeled: <br /> l Sw 11me Volume water Temp re H Observations <br /> Extracted mhos) p (Color,Turbittty,Oils,Odor) <br /> 2 J <br /> Jv- <br /> SAMPLE INFORMATION <br /> Lab: <br /> Sampling CantalnerJNo.of Containers Preservation <br /> Ii4ther <br /> Liter Am IC9 M' Other <br /> C nil '�.} ��Jlea <br /> L' Ice iTt-ther <br /> Devka- ailer,Ctsposablo ❑ Other <br /> 1=artInent F 0bssrvaticns: <br /> pevlaiions From Standard Sampling.Frctcccj: <br />