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�• fes. af, see s>lswl ssssel ss� �s � ti i i i i <br /> ADOR EARTH TECHNOLOGIES 0 i <br /> GROUNDWATER MONITORING FIELD FORM <br /> I. SITE: j�P-i_C _ WELL <br /> PROACT 00NOOR IPERSO I~Lt ` <br /> AMBIENT-CON DiI0040.1rals ; atr adverse idesorlbe In notes section ATS• <br /> 2. PRt ._rr_pURC, 'Ai Purgo Volume Protocol #of casing volumes) 11 <br /> Well Cas Depth(ft.)J�q,-- (Clrola: measured / staf! Wall Casing Diameter(1p,) � <br /> - Depth-to-Water -23 (subtract from well casing depth) Measuring Point Location <br /> n Water Columra--Li2j Purge Vol.Cafo. (for 1 caging vel.) ���� t ( (multlpllers;2 In =163,-4 Inch= 863, 5 lnah=t 02) <br /> +field Ingo lotionlXipI2: Appearance. Odor: <br /> • oa a of o u rtunat a t ffA dr Fig hau ?fiat raadtlatf ar an <br /> 3. PURR DATA: Purge Device: <br /> If pumped, specify: discharge rate(gpm)lf <br /> g y depth pump met at(f#)��5_______ <br /> ljmgk Vol, Purrtad lamoerature gd FC If well purges dry, specify the following: <br /> (start) (aumalaWal (01rds, Fr 1) time <br /> �2_kzs _ .-.�, 2) volume purged <br /> 3) depth-to-water_ � <br /> X. 4) depth-to-water for 80%recovery <br /> 6) depth-to water at time of sampling. _ <br /> Total Vol. Purged(gals.) <br /> i <br /> 4. $AMf+LIN4 pA7'A: No. of Contain IS2.01 Canta[ne <br /> -y C P� .--.. - Time Cnilectedk4o <br /> Callaotion Dev1oe2=&PD_SSL <br /> sample IDL-4t <br /> 5 QA[OC AAMPI. 11; Duplicate(Circle); Yes I Sample ID <br /> Rlnsate on sample oollectlon device used on this well (Circle): Yes 1 > sample ID <br /> S. 01091Y l)li Method(Clrola): tandard Prcoedu I Other <br /> ®� {itaadud dtf4nhmUutlon Artt ftlun ronalftf of W01hbid JtarwNh r Mon of*Now a u f ff trod fl ulnox and thin da%ik1!rintfn v4h ar colt partriltgr. fl aaa{hu mftnod I atad dffaribi thf olld no tt agalon <br /> r. ADDITIONAL MILD,NQT1111111; <br /> lfarlr:elgwmnif.wbl (81136) <br />