Laserfiche WebLink
i <br /> ENGINEERING. INC. <br /> RC #27077 Lic.OWTS01 <br /> 8084 Old Auburn Pd.,Suite E, Citrus Heights,CA 85610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name sob �.942 Well <br /> Date Sample iQ <br /> Sampling Team <br /> Purpose of Sampifrig: ❑ InitialQuarterly Verincaticn ' Other: <br /> Weather Candi6'ons <br /> GROUNDWATER LEVELICASING VOLUME <br /> Depth Conversion Cas[ng . <br /> Description Time (TOC to GW) ' Total Depth Feet of Water fft Factor V2�5) ali Ae <br /> After Development/ <br /> Pu nq <br /> At Time of Three Casing Volumes Gals <br /> Sampling Sam Ifn , Ten Casing Volumes _.._,._,,,_Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipmert submersible Pump ❑ Baller ❑ Sandpiper ❑ Other: <br /> Method: 2� <br /> escrtptlon <br /> Decontamination Method: �L <br /> 4k <br /> oescnpuon <br /> Ater Containment: rums ❑ Baker Tank ❑Treatment System ❑ other <br /> Labeled: <br /> Start Time VolumWr Tem re pH Cbservatfons <br /> e� (umbos) (Color,Turbitity, Oils <br /> ,Odor) <br /> *ell A <br /> SAMPLE INFORMATION <br /> Lab: <br /> Sampling Containers/No.of Containers Preservation <br /> 1 Liter Am ° eica <br /> ce Othsr <br /> ml V A L� <br /> 4! <br /> , thzr <br /> CJt:77er ; ice ! Other <br /> Device: ❑ Hauer.Disposable i!! Cther <br /> Pertinent Field Observations: • <br /> Deviations From Standard Sampling_Pmtac,3: <br />