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CONDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> SITE: t WELL ID; �+ <br /> PROJECT NO. QVC CONDOR PERSONNEL : ` <br /> AMBIENT CONDITIONS (Circle. 61-r-Y adverse describe In notes section DATE; <br /> 2, PRE-PUROg QAJAt PRE-PDPurge Volume Protocol(#of casing volumes)_ <br /> Well Cas Depth(ft)5_(Circle., measured 1 stall Well Casing Diameter(in) <br /> - De th-to-Water (sulatra A from well cas epth) Measuring Point Location�1.� <br /> p a�1 H <br /> Water Column Purge Vol Calo. (for 1 casing vol) �►�-(multlpllore.2 lnch- 163, 4 Inch-653, 6 Inch-1 02) <br /> Flgid lnsaeotion Samole. Appearance Odor <br /> S f Color d of CIATRY, plena of shah or product phau S scq aHpht,modatala of afran ) <br /> 3 EE DATA: Purga Device, D-Z%R `If pumped, specify; discharge rate(gpm) depth pump set at(ft,) <br /> Vol. u e 28 Rj% If wall purges dry, specify the following: <br /> _(start) (eumuiawal (circle F G 1) time <br /> 2) volume purged <br /> ;PILL � 7.. it 3) depth-to-water <br /> 'Z3% a <br /> � 4) depth-to-water for 60/o recovery <br /> 6) depth-to-water at time of sampling <br /> Total Vol Purged (gals,) <br /> 4, SA PIM 1NQ i��7A. No, of Contain lyne-of Codalnef Reeguested Analyila <br /> `3C)I& 'E 1 tall ZE, - _ Time Collected) <br /> - Collection DevlceDl { 1 <br /> Sample ID - d <br /> 6. CIA I QC SAMPLI=S: Duplicate (Circle)' Yes 10 cl Sample ID <br /> Rinsfate on sample collection device used on this well(Circle): Yes 1'® Sample ID <br /> 9. DECONTAMINATION Method(Clrcla procedure Other <br /> standard d.conlamfnatlon rocsduta consists of wuhln ear wAh a soluN�®rd <br /> k un wait and II utnox and than dovbls rinsing with ar ante urs water a another milhod h Used,dwCtiha In Chari+id noun aactlon <br /> 7, ADDITIONAL E" E D 0 <br /> t lformslgwmnff wts1 (8)95) <br />