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ANDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> �. arra• 5 WELL It]� <br /> PROJECT NO;,`�LiI A CONDOR PERSONNEL.- <br /> AMBIENT CONDITION&AgnewS Ctrats ; air I adverse describe in notes sectio DATE <br /> 2, PR pI_] DE4 I3AT��6,, 'Purge Volume Protocol(0 casing volumes) <br /> Well Cas. Depth(ft,), -� (Circle: measured I eta Well Casing Diameter(in.} a.t! <br /> - Depth-to-Water G- o (subtract from wall casing depth) Measuring Paint Location V=ir,. <br /> n Water Column r Purge Vol. Colo. {for 1-casing vol,} [� �y multipilere:2 Inchm.1e3, 4 inch=.853, 6 Inch-1 M) <br /> Eleid lnenectinn Ssmnle: Appearance Odor; <br /> le talo t res o a u Honer a sheen ar raduat 'hue B u e h matlereh er a ran <br /> 3, PUROH DATA; Purge Device: <br /> If pumped, specify; discharge rate (gpm) depth pump set at(rt.) <br /> Vol, Purse €C If well purges dry,*specify the following: <br /> (start) (aumulellw) Olrata; F / 1) time <br /> I ` LOUO_ 2) volume purged <br /> � CA 3} depth-to-water_ <br /> �� ;, t;_ r, , •U� Ct t 4) depth-to-water for 80°fa reaovnry <br /> 5) depth-to-water at time of sampling _ <br /> Total Vol. Purged(gals.) <br /> 4, SAMPl-1N4 DATAt No. of ContainType of Contping Rbguestgd Anelvsls <br /> `t-$1k-6ar,PKr2 - Time Collected L4:4s <br /> T -- Collaation Devlos t-) <br /> Sample4'1anr.l L <br /> S. oA I aC Duplloate (Carole); Yes 1 Sample ID <br /> Rlnsate an sample collection device used on this well(Circle): Yes 1(9 Sample ID <br /> 0. 0AGONTAMINATI0N;, Method{Clrale): an ar e r Other <br /> Btendald diaanbmineilon raaeduu aonolte at W08mv goal wllh a talullon at or anlo pure water and Il ubnox and then doubts rinsing wRh ar enro pull welu, It another method uud dowlbe In to ON notes aectlan, <br /> &k I . c <br /> I <br /> fAformslgwmnff.wb1 (8185) <br />