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CONDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> 1 SITE `i' !Li w WELL ID: IU-Y <br /> �-z— <br /> AMBIENT <br /> PERSONNEL.NO' t�l� <br /> AMBIENT CONDITIONS Corcle air adverse describe in notes section DATE: 12 n <br /> 2. PRE-PURGE DATA: Purge Volume Protocol(#of casing volumes) <br /> Well Cas Depth(ft)_�(Circle measured 1 detail) Well Casing Diameter(in ) <br /> - Depth-to-Water_&k f (subtract from well casing depth) // Measuring Point Location_ <br /> Water Column 6 - Purge Vol Calc (for 1 calire4.0'sing vol } (O =__j F_,7 2 inch= 163,4 inch= 653, 5 inch=1 02) <br /> Field Insaection Sample Appearance <br /> I)c Odor A <br /> (Specify coicr,tlsgree of clan ty presence of sheen or product phase) (Spacry slight,moderate or strong) <br /> 3. PURGE DATA: Purge Device 6 1 cr <br /> If pumped,specify discharge rate (gpm) depth pump set at(ft} <br /> Tim Vol Purged Temperature pH E C If well purges dry, specify the following <br /> —ACT _(start} (cumulatwe) (circle F !Q r l 1) time <br /> i Z C! 1rI fi 2) volume purged <br /> 3) depth-to-water <br /> -- q r �. C, y�/_ 4} depth-to-water for 80% recovery <br /> 5) depth-to-water at time of sampling <br /> Total Vol Purged(gals) ------ <br /> 4. SAMPLING DATA: No of Contain Type of Container Requested Analysis <br /> VCA TAP, 0 Time Collected (ZZU <br /> Collection Device 1.11AIc <br /> Sample ID.` -5 Z- 1LIk"/– 1 7/3° 11 <br /> 5. 4A LQC SAMPLES Duplicate (Circle) Yes 1 1 Sample ID <br /> Rlnsate on sample collection device used on this well (Circle) Yes 1 to Sample ID <br /> 6 DECONTAMINATION Method(Circle) 1 kindard Procedure 1 Other <br /> (Standard decontamination procedure consists of washVn ea! lutio <br /> wlth a son ai Or ante —we water and L uinox and then double rinsingwith organic pure water if anothef Method is used tlesCrk6e In the}Illd notes section <br /> 7. ADDITIONAL FIELD NOTES. <br /> f Iformslgwmnff wb1 (8/95) <br />