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ANDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM . <br /> t. grrl� r, 1AtSASL WELL ID: <br /> PROJECT NO;I'! !�} CONpOR PSR80NNSl.�- , 4CON <br /> AMBIENT DI IDNs Ctrcte t fair/ adverse describe in notes sectio DATE• 1 <br /> 2. PRE-URGE DATA& 'Purge Volume Prot000l easing volumes) s3 <br /> Well Cas, Depth(ft,)3D,b (Circle: measured 1 stall Well Casing Dlameter(in.) � <br /> - Depth-to-Water :{G s s (subtract from well cas n depth) Measu�ring Point Locatlori <br /> [ ; = Water Coium� , f <br /> Purge Vol.Calcor 4 casing vol. � � _(multipliers:2 Inch-.163, 4 Inch-.653, 6 Inch-1.02) <br /> ,flaid Inspeallon :Samula: Appearance: Odor: <br /> 16pil ca or d res of c sr Mande at chain ar rodvct hotel ill es s h%modems.art ran <br /> 3. PUB919 DATA: Purge Device: . <br /> If pumped, specify; dl charge rata(gpm) depth pump set at(ft.) <br /> lima Vol. Purged �gC� ph �C If wail purges dry, specify the following: <br /> ,1� (start) toumu�stk�) {clrrde:yP / 1) t1me� R� <br /> � z- AS- - - - --- 3 �5 i j 2) volume purged <br /> 30 1.U.4 3) depth-to-water i <br /> 5— 4) depth-to-water for 80%recovery <br /> 6) depth-to-water at time of sampling <br /> Total Vol. Purged(gals,) <br /> 4. NAMELI9 UATAx, No. of Contaln lype of 9RnIolng RtQuestld <br /> S .Vo 't�V�rC�,`t�PK-� ' Time Collected_ <br /> .�l y� �R�n1oa,,LSMTj Colleatlon Davloe flip <br /> Sample ID y2(-A-- q4 ��/ 1G x <br /> S. QA I[29 Duplicate(Circle): Yes !a Sample ID <br /> Rineate on sample collection device used on this well (Circle): Yes !® sample ID <br /> 0. DECO NIAM ATiON: Method(Circle): an ar er Other <br /> rflandeld d000krtlmW3 pfucedWs consists at Walhing air with s 101001101 or snit un avatar xnd II ulnox and then doubts rinaing with or aeo pure wale. If anther mthad isused dsacrlbe In the Field nous alwan, <br /> 7• AQj2LTIQNAL E1EL131iOTES: <br /> tMormslgwfnnff,wb4 (6195) <br />