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II <br /> CONCQR EARTH TECHNQLQGIES <br /> 188 Frank West Circle,Suite t,Stockton CA 95206 GROUNDWATER MONITORING FIELD FORM <br /> 1 SITE: C "f e4 (?,C:>f ) WELL ID: <br /> PROJECT NO: �`� 7 1 J CONDOR P RSONNEL: 77 !� s <br /> AMBIENT CONDITIONS (Circle) fair adverse (describe in notes section) DATE: 2 4 G` <br /> 2 PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) <br /> Well Cas. Depth (ft.) + • (Circle: easure ' detail) Well Casing Diameter(in.) <br /> Depth-to-Water /8.49 (subtract from well casing Depth) Measuring Point Location ./10(- <br /> Water Column_-L 7, b Z -Purge Vol. Calc. (for 1 casing vol.) Z c! = 2,7� (multipliers: 2 inch=.163,4 inch=.653, 5 inch-9.02) <br /> Field Inspection Sam Appearance:_ to h-�` Odor: _-.S�m�G i,IC ^ <br /> (Specify color,degree of clarity,presence of sheen ar product phase)^ (Spe6y slight,moderate,or strong) <br /> 3 PURGE DATA: Purge Device: <br /> If pumped, specify: discharge rate(gpm) depth pump set at(ft.) <br /> Time Volume Purged Temperature pLi E_Q If well purges dry, specify the following: <br /> (start) (cumulative) (circle: F <br /> 1)time <br /> AMI PM 3 l,G 7 Ij.*uS 2)volume purged <br /> �M I pM E: Z3 b 3) depth to water <br /> { !9,99 4) depth to water for 80% recovery <br /> M 1 FM AFM 5) depth to water at time of sampling <br /> A�l_ <br /> Dotal Vol. Purged(gals.) $_z- <br /> 4 SAMPLING DATA: No.of Contain. Type of Q_Qcilgine ReQuested Analysis <br /> - <br /> 6/0 TZZ- Time Collected 3�s <br /> lba'y Collection Device <br /> Sample ID �} -- W <br /> 5 QA1QC SAMPLES. Duplicate(circle): YesNo Sample ID <br /> Rinsate on sample collection device used on this well (circle): Yes 1 Sample ID <br /> 6 DECONTAMINATION Method (circle):Clapdard Procedure Other <br /> (Standard decontemination procedure consists of wawith a solution of organic pure water and liquinox and then double rins}ng with organfe pure water.If another method Is used,describe in the field notes section-y <br /> 7 ADDITIONAL FIELD NOTES: <br /> O:1Formffield Formslgwmfflgwmff.xlS <br />