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ENGINEERING, INC <br /> RCE#27011 LIC 0537901 <br /> 8084 Old Aubum Rd Surte E, Citrus Heights,CA 95610 ' <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name Job#_ •dc7Well <br /> ' <br /> �� ,� # M1 <br /> Date _ -Sample ID "L�=4P <br /> Sampling Team , <br /> Purpose of Sampling !1 Initial tE-Quar#erfy ❑ Verification - ❑ Other <br /> Weather Condrtrons , <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> • <br /> Descrrptlon Time Depth Conversion Casing <br /> =(TOC to GW)=Total Depth= Feet of Water tractor Volume <br /> {K to afs Ions) <br /> Irut:ar $3.40 7q O <br /> After Development/ %11 . <br /> n 2 ' <br /> Purglog <br /> At Time of Three Casing Volumes l�J,S Gals <br /> Sam lin 52 Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING , <br /> EquipmentSubmeersible Pump 01 Bailer ❑ Sandpiper El other <br /> Method 2~ <br /> ( Raon <br /> Decontamination tyle ffior:Ri <br /> nptton 4d <br /> Water ContainmentDrums ❑ Baker Tank ❑Treatment System ❑, Other <br /> Labeled <br /> Start Time Volume Water Temperature Observations <br /> •F (umhos) pH <br /> (Color,Turtytty Oils Odor) <br /> a <br /> q O, - <br /> SAMPLE INFORMATION <br /> Lab <br /> �Sampling Containers/No-of Conta ners— Ypresenrationv -� - --� <br /> 1 Liter Amber Ice — <br /> 40 ml VCA ►���~� k, Other <br /> _ Ottler - - --- / Ice 2S Other- <br /> Ice _ Other <br /> Device IT-Bailer Disposable 7 Other - <br /> Pertinent Feld Observations ' <br /> Cewawns From Standard Sampling Protocol <br />