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WeIIIPsez ID <br /> ED MR. <br /> Well/Piezometer Development Record I &tu2-7-�- J <br /> Client Site Location 4ZO 6 t'ic- ALP6 S'rac�� <br /> Protect No - Date -�Y-Q� Developer <br /> �g� <br /> WELLIPIEZOMETER DATA <br /> Well F?sr Piezometer ❑ Diameter�� Material <br /> Measuring Point Description _ e Geology at Screen Interval le, 1 <br /> (if known) T <br /> Depth to Top of Screen (ft ) :0 100 <br /> Depth to Bottom of Screen(ft) .(� Time of Water Level Measurement - 13-0 <br /> Total Well Depth(ft) Calculate Purge Volume(gal} Jam•(�- <br /> Depth to Static Water Level (ft) Disposal Method FA <br /> Wellhead PID/FlD . <br /> Original Well Development ' Redevelopment ❑ Date of Ong inal Development <br /> DEVELOPMENT METHOD xjpL PURGE METHOD N ?U MP <br /> Field Testing Equipment Used Make Model Serial Number <br /> 7ILI 04 LA-2Z sy��__ - - <br /> Field Testing Calibration Documentation Found in Field Notebook# Page# <br /> -- — - — SPec=Cond L = _) - <br /> �Valume� <br /> Time Removed al T° H umhos Turbidity NTUs) DO Color <br /> hA <br /> ACCEPTANCE CRITERIA(from workplan) Yes No NIA <br /> Min Purge Volume ( well volumes) gallons Has required volume been removed N- ❑ ❑ <br /> Maximum Turbidity Allowed NTUs Has required turbidity been reached ❑ a ❑ <br /> Stabilization of parameters % Have parameters stabilized ❑ ❑ <br /> If no or NIA explain below <br /> lip <br /> Signature Date ' <br /> I <br />