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I [ [ t [ [ [ t ( L f L [ t [ [ f ( l <br /> CONDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> 1. SITE: /Jrr..� �TE.r�A E-..-r 37"f -,L I WELL ID: <br /> PROJECT NO: `ter CONDOR PERSONNEL: ! <br /> AMBIENT CONDITIONS (Circle): fair I adverse describe in notes section DATE: <br /> 2. PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) <br /> Well Cas. Depth (ft.) (Circle: measured I detail) Well Casing Diameter(in.) <br /> - Depth-to-Water (subtract from well casing depth) Measuring Point Location <br /> Water Column Purge Vol. Calc. (for 1 casing vol.) - (multipliers:2 inch=.163,4 inch=.653, 5 inch=1.02) <br /> Field Inspection Sample: Appearance: Odor: <br /> (Specifycolor,degree of clarky,presence of sheen or product phase) (SpecMy slight,moderate or strong) <br /> 3. PURGE DATA: Purge Device: <br /> If pumped,specify: discharge rate(gpm) depth pump set at(ft.) <br /> Time Vol. Purged Temperature pH E.C. If well purges dry, specify the following: <br /> —(start) (cumulatfve) (dircle: F / C) 1) time <br /> 2) volume purged <br /> 3) depth-to-water <br /> _ 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 /> 2 y(J,u ��� %E;r, .� r �. Time Collected <br /> Collection Device <br /> Sample ID .'� �� c✓- / "' <br /> 5. QA I QC SAMPLES: Duplicate (Circle): Yes I No Sample ID <br /> Rinsate on sample collection device used on this well(Circle): Yes 1 No Sample ID <br /> G. DECONTAMINATION: Method(Circle): Standard Procedure / Other <br /> (Standard decontamination procedure consists of wsshlnp pear with a soiutlon of organic pure water and Ilqulnox and then double rinsing with organlo pure water, If another method Is used,desorlbe In the fleld notes see <br /> 7. ADDITIONAL FIELD NOTES: �,� ,>� ,. �� /rMr'�ra (� r��, i ,,, ;ti.�- �'�-= { e- 4>�, <br /> f:lformslgwmnff.wb1 (8/95) <br />