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" Q A * � - <br /> T C L G <br /> 188 Frank west circle, suite 1,Stockton CA 95208 GROUNDWATER MONITORING FIELD FORM <br /> SITE: <br /> WILL ID: ' w <br /> Pfto,�Ecr�ia:j _ � � � <br /> AMBIENT CONDITIONS (Ci�rclepladverse (describe in notes sectint°) DATE-CONDOil P><RSONNE � <br /> 2 PRE-PURGE DATA: Purge Volume Protocol(#of casing volumes)�.3 <br /> Well Cas. Oepth (ft.)!W LA (Circle: measured/detail) It <br /> -Depth-to-Water (subtract from well casingDepth) Well Casing Diameter(€n.) <br /> =Water Column 3 g p ) Measurin1KA-3, 71'Multipilers: <br /> Lon <br /> Pur e Vol. talc, (for 1 toeing vol.) c�- ,O� 2 inch=,963,4 €nch=•653, 5 Inch-1.02) <br /> Field inspection Sam Appearance: ,p�h (700j <br /> [Specifyar,degree of c erileseeheesf or prodvc~ 1 phase} Odor: p^� <br /> (3peclf It lit,maderato,or strong} <br /> 3 PURGE DATA: Purge Device: E <br /> If pumped, specify: discharge rate(gpm) <br /> .,A..bS .` depth pump Be,a!(ft.) <br /> €Lt�� <br /> �Cid (start] ,�a�Atm � If well purges dry, specify the following: <br />. (cumulative} (circle; F'�:+ <br /> I S'�,...._..._ �C7 1) time <br /> 2)volume purgedaa J - 3)depth to water - <br /> ' 1= -_ 3 4) depth to water for 80 recovery <br /> overy <br /> 5) depth to water at time of sampling <br /> Total Vol. Purged (gals.) <br /> 4 SAMPLING DATA: ��in, <br /> W 3 � �-�`z�L�L Segues#ad ARat�gt� <br /> - .��---- Time Collected ',3 0 'Z, <br /> collection device t <br /> Sample € — <br /> _qAU UMp_�F_& Duplicate (circle): Yes/G> Sample I <br /> Rinsate an sample collection device used on this well(circle): Yes® <br /> Sample Ili <br /> B CO MJNAT-[W Method (c]role)<2EEZErote /Other <br /> ISlandard decnnlaminaElan prosadura aohslate of washing gear wah a soiutior}of organic pure Wolof and ifqulrrox and Ilion double dri ng with organic pure water.If anothar maShod is used,describe In the Aetd notes aect[an.} <br /> T ADDITIONAL FIELD NOTES: <br /> T <br /> 0:1ForrrmslF€eid f ormslgwmfRgwmff.x€s <br />