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ENGINEERING. INC. ' <br /> RCE#27011 tJC #537901 <br /> 8084 Old Aubum Rd,Suite E Cltrus Heights CA 95610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM , <br /> ProjectName ' _ _ Job# SCX5-7-) 09 well # M%,Lr3 <br /> Date 9�1 - - - _� LL Sample tD <br /> Sampling Team <br /> Purpose of Sampling Initial �uarterty ❑ Verification ❑ Other <br /> Weather Condrttons , <br /> GROUNDWATER LEVELICASING VOLUME ' <br /> Dept ` _ Conversion— Casing <br /> escriptio <br /> Dn —Time ROC to GVY) Tatat Depth Feet of Water Factor Volume <br /> (ft to oalsl (gallons) <br /> Initial <br /> After Development/ <br /> PurgingX11 Three Casing Volumes <br /> A[Time of �� � ��� r>g �Gals <br /> Sampling Ten Casing Volumes Gals ' <br /> WELL DEVELOPMENT/PURGING <br /> Equipment ;�qubrnersibblle7Pump 01 Bailer C Sandpiper ❑ Other , <br /> Method '1a0%Qi <br /> Dew <br /> npnon <br /> Deoontam,nat<on Method �� t�� <br /> ascription - -- <br /> Water Containment ? Drums ❑ Baker Tank ❑Treatment System !=F Other <br /> Labeled - r <br /> Start Time Volume cted a er Tem Chrre pH Observations <br /> (umhos) I (Color,Turbitrty,Ods Odor) ' <br /> l 0 20r r L <br /> 11OS <br /> 1t [ 10 1t <br /> 15 <br /> SAMPLE INFORMATION _ <br /> L.ab -�� _ <br /> Sampling Contarners/No of Containers Preservatron <br /> _ 1 Liter Amber Ice Other <br /> 40 ml VOA 1v__­,ce KOther `L <br /> T Ctner <br /> L Ice Other <br /> Device ;__1<13a,ler Dlspesable Other r <br /> Pertinent Feld Observations , <br /> Ceviations From Standard Sampling Protocol <br />