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CONDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING MELD FORM <br /> 1 SITE. �T iIlk,1vWELL ID; ttj tv —� <br /> PROJECT NO __IL `=22 CONDOR PERSONNEL <br /> AMBIENT CONDITIONS(Circle):, a I adverse Idescribe in notes section DATE: <br /> 2. PR URGE DATA: Purge Volume Protocol (#of casing volumes) <br /> Well Cas Depth (ft)19f Z (Circie measured ! detail) Well Casing Diameter(in) — <br /> Measuring � <br /> - <br /> Depth-to-Water (subtract from well casing depth) g Point Location l re- Tr7c-- <br /> = Water Columnj(2t 5O_ Purge Vol Calc (for 1Basing v l) = 1J 7(muitipliers 2 inch= 163, 4 inch=653, 5 inch=1 02) <br /> Field Inspection Sample Appearance ��+�'+� + �) r r �� Odor r t' <br /> (Spsc'Py color degfee of clafay presence of sheen or product phase) (Specify slight moderate or strong) <br /> 3, PURGE DATA Purge Device ,I1IE1' <br /> If pumped,specify discharge rate (gpm) depth pump set at(ft} <br /> Time Vol Pureed Temperature PH, E C If well purges dry,specify the following <br /> 112[O (start) (cumvlawe) (circle, F C)E ^ 1) time <br /> %,/ lr, ! 2) volume purged <br /> Z br' 3) depth-to-water <br /> 4) depth-to-water for 80% recovery <br /> 5) depth-to-water at time of sampling <br /> r' <br /> Total Vol Purged (gals) _ <br /> 4. SAMPLING DATA. No of Contain Tyne of Container Requested Anal sis - <br /> (1c"A -MYI k l� "Z66 Time Collected_ 'l - <br /> Collection Device A4 i I*r- <br /> Sampie lD 3Z <br /> 5. QA I QC SAMPLES, Duplicate (Circle) Yes /(9 Sample ID <br /> Rinsate on sample collection device used on this well (Circle) Yes ! o Sample ID <br /> 6. DECONTAMINATION Method (Circle)Ctandard Procer�! Other <br /> (Standard decontamination rocedure consksts of washingeaf wRts III 111 (1eM rLweUf and l ulnox and then double rinsing with organo pure water if another method Is used describe In the field notes section j <br /> 7 ADDITIONAL FIELD NOTES, <br /> f lformslgwmnff wb1 (8195) <br />