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r77 -11 <br /> ' CQ 4DOR ERTki TECHNQL G1ES J `I <br /> 1.88 Frank West Circle, Suite I,Stockton CA 95206 GROUNDWATER.MONITORING FIELD FORM <br /> 7 S1TE:,F�x��¢�rf 5�� WELL ill; � 6 <br /> PROJECT NO: CONDOR PERSONNEL: <br /> .AMBIENT CONDITIONS (Circle) lair adverse (describe In notes section) DATE: 1 ap Z <br /> ---------------------- <br /> 2 PRE-PURGE DATA: Purge Volume Protocol (#of c 'ng volumes) <br /> Well Cas. Depth (fl.)A.7.Oo (Circle: measure_ddeta' , <br /> Well Casing Diameter(in.) � <br /> Depth-to-Water 1 7 qS (subtract from well casing Depth) Measuring Point Location_ iypG <br /> =Water Column t�_purge Vol. Calc. (for 1 casing vol.) = <br /> • (multipliers:2 inchIm.163,4 Inch=.653, 5 inch-'1.02) <br /> Field Inspection Sam Appearance: r-- lregr Odor:_ lane _ <br /> (Specify co, ,degree of clarity,presence of sheen or pradue)phase) {Specify slight,moderate,or air ongl <br /> 3 PURGE DATA: Purge Device: rS .A i <br /> df pumped, specify.-,discharge rate (gprn) depth pump set at(ft.) <br /> YQlume Purged Temnemtm amIC If well purges dry, specify the following: <br /> 091 7 (start) (cumulative) (circle: F/0 1)time <br /> 05 24 !PM 1.5 lB. 7 6. 60) 7p1 r,1 2) volume purged <br /> 1-P1� 3'� 2 f'`{ •�3 6 r 3)depth to water <br /> 0131 /PM 5 2f _ .- 7�{ _400s' 4) depth to water for 80% recovery <br /> 5) <br /> depth to water at.time of samplingM.- <br /> Total Vol. Purged(gals.) �.S <br /> 4 SAMPLING DATA: NQof Cane Iylle of Container ReQ <br /> Time Collected O`l 3S <br /> —8. FX _ Collection Device *S 3r <br /> Sample ID <br /> 5 QA10C SAMPLES Duplicate(circle): Yes/t o Sample ID <br /> Rinsate on sample collection device used on this well (circle): Yes AQ Sample ID <br /> 6 DECOIIAMINATION Method(circle): 1 Other <br /> .(Standard deoantaminatlon procedure consists of washing gear wlth a solution of orgaI pure water and ilquinox and.then double rinsing with organic pure water.Ir another method Is used,describe h ilia field notes section.) <br /> 7 ADDITIONAL FIELD NOTES: PCI 111,111fJ rown +� <br /> � �Or o�w r•• <br /> re e <br /> O:IForms\Fiefd Formslgwmfflgwmff.xls <br />