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ENGINEERING INC. <br /> RCE#27011 Lic.313537901 <br />�OU Ofd Aubum Rd.,Suite E. Citrus Heights,CA 95810 <br /> S WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Iroject Name Job# Well# <br /> Date <br /> Sample Sample ID 1-cop <br />�ampling Team ' <br /> urpose of Sampling: _ Initial �;Quarterly Verification ` Other: <br /> eather Conditions <br /> II <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Description Time Depth Conversion Casing <br /> {TOC to GVH} Total Depth Feet of Water Factor ! VDlume <br /> {ft to als) II ( alfons! <br /> Initial <br /> ;�- ��g �] <br /> After Development/ <br /> Pur in <br /> Atlimeof ((11�� t Three Casing Volumes _Gals <br /> Sam lin Lv L Ten Casing Volumes Gals ' <br /> WELL DEVELOPMENT/PURGING <br /> Equipment: t submersible Pump Bailer [ Sandpiper Ij Other. <br /> t� <br /> shod: 2 <br /> uescripvon <br /> mination Method:_rAp � —• <br /> 0Facription <br /> ItOntai.riment: ,Drums ❑ Baker Tank C Treatment System r Other: <br /> eled: <br /> Start Time Volume Water Tempe re — 9- H Obsarvadans <br /> Extracted "F C (urnhos} p (Color.Turbitity,Oils,Odor) <br /> 00 <br /> I ' <br /> I <br /> SAMPLE INFORMATION <br /> l <br /> Sampling Containers/No.of Containers Preservation <br /> 1 Liter Amber — <br /> 40 mi VOA _.. �co — ther <br /> er <br />— Omer — Ce — L'L-- .. - <br /> — ice _ Otrier <br /> F e; <br /> �;ailer,Disposable ._ Other <br /> ent meld Observations: <br /> 'aticns From Standard Sampling Protocol: <br />