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CONDOR EARTH TECHNOLOGIES <br /> _ GROUNDWATER MONITORING FIELD FORM <br /> � SITE• ` WELL Id: <br /> PROJECT No CONDOR PERSONNEL--Tt <br /> AMBIENT CONDITIONS (Circle);401 adverse describe In notes section DATE; U 7 I o <br /> 2. PRE-EVE16 DATA: Purge Volume Protocol(#of casing volumes)- <br /> 3t-Well Cas Depth(ft), toto (Carole measured 1 eta Well Casing Diameter(in) 2 <br /> - Depth-to-Water Z3!.g2Z-(subtract from well casing depth) Measuring Point Location <br /> :o Water Column I k.S Purge Vol Caic (for t casing of)X t f.o2ii (multlp11 rs 2 Inches 163,4 Inch-653,5 incheel 02) <br /> la Inspection Sample, Appearance Odor =W.--- _ <br /> 8 tutor,d ��o<cbr essnce of sheen or product 1111e) {8 ec IEI ht tsfotlslate or strap -1 <br /> I <br /> 3. U Purge Devlce'C��a.�e ±r Tir�,�3— <br /> If pumped,specify, discharge rate(gpm) depth pump set at(ft) �I <br /> 11111e Vol.Purg2 Temoer tg ur ph E& If well purges dry,specify the following <br /> :j2:,—(start)Ieumuh11.) (circle F 10 1) time <br /> -7 elf 2) volume purged <br /> '27 Z,Z, '7 • D ev 3) depth-to-water <br /> ej2S1 4) depth4o-water for 80%recoverySe " 5) depth-to-water at time of sampiing <br /> Dial Vol Purged(gals) _ <br /> 4. SAMPLIN13 DATA _Ng.0LCqBtqb Iyge o Contliner Reauested Analysis <br /> �� _ 1/doh grt�ac,strK1 ter„s-r Time Collected 3'' - <br /> Collection Device VQ -n o <br /> Sample 113-And— <br /> S. <br /> D 6. QA 1 OC SAMPLES: Duplicate(Circle)' Yes 1& Sample ID <br /> Rinsate on sample collection device used on this well(Circle) Yes /0 Sample ID <br /> 6. D§CONTAMINUD Method(Circle andard Prooe e 1 Other <br /> Stsnd21d dtcohlaminstlart foudurs consists al wsshin nrw tokvuon of o: snln v 2nd 11qo1nox end then double rinsIn1withargartic om weler N snofhtr method Is uteri describe In the fiid nope lection <br /> r. ADDITIONAL FIELD O S• <br /> f lformslgwmnff wb1 (9195) <br /> I <br /> l- <br />