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i i. it i i mm i i i i i i i <br /> CONDOR EARTH TECHNOLOGIES 0 • <br /> 188 Frank West Circle,suite 1,Stockton CA 96206 GROUNDWATER MONITORING FIELD FORM <br /> 1 SITE: QayC1 t/JTGt WELL ID: <br /> PROJECT NO: 3761 CONDOR PERSONNEL: <br /> AMBIENT CONDITIONS (Circle): air adverse (describe in notes section) DATE: Z pL- <br /> 2 FIRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) <br /> Well Cas. Depth (ft.)_ (Circlemeasure detail) Well Casing Diameter(in.) Z <br /> Depth-to-Water 2/40 (subtract from well casing Depth) Measuring Point Location <br /> Water Column_ _ x.•36 _Purge Vol. Calc. (for 1 casing vol.)._#39 (multipliers: 2 inch=.163,4 inch-.653, 5 inch=1.02) <br /> Field Inspection Sam Appearance:-Ii Mr.MW4n7o SIG rnto,r� Odor. orae <br /> (Specify color,degree of clarity,presenca of sheen or product phase) (Specify slight,moderate,or strong) <br /> 3 PURGE DATA: Purge Device: D.'S <br /> If pumped, specify: discharge rate (gpm) depth pump set at(ft.} <br /> 1knee Y-glume Purged Demperature <br /> O 6 � (start) (currlulative � EQ If well purges dry, specify the following: <br /> J (circle: F/� 1)time <br /> ,flS� - ,.,_.� __. Z4�•� �, 7=O 13729w 2)volume purged <br /> 'M 1 24•'L 7. C>A3�,� 3) depth to water <br /> o ! �' 24. L 7.06 !3�14,rs 4) depth to water for 80% recovery <br /> ANLC f1 5) depth to water at time of sampling <br /> AMI m p g <br /> Tctal Vol, Purged (gals.) I•LS <br /> 4 SAMPLING DATA: No. -of Contain. Iyet2 of Contain Requested Analyte <br /> Ud TPH-1 fZ D X Time Collected 1,0S1 <br /> Collection Device <br /> Sample ID 3W- .ilW2 9 1 <br /> 5 QA/QC, AMPLE"k: Duplicate(circle). Yes/ o Sample ID <br /> Rinsate on sample collection device used on this well (circle): Yes 10 Sample ID <br /> 6 DECONTAMINATION Method(circle): andard Procedure Other <br /> ii .(Standard decontamination procedure consists of washing gear with a solution of organic pure water and liquincx and then double rinsing with organic pure water-If another method Is used,describe in tha field notes section.) <br /> 7 ADDITIONAL FIELD NOTES: � /�� N�.� 1cf.' y <br /> ,o�,C 00Te��� <br /> O:IForms\ ield Formslgwmfflgwmff.xls <br /> I <br />