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� � � r! � 1• i• I• !� 1>• s � �s s.s.. <br /> tpo NDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> 1 SITE:�A.`S ��c.tiFK cr WELL. ID: h w - 5 <br /> PROJECT NO,1--� �� _CONDOR PERSONNEL: `T" <br /> AMBIENT CONDITIONS Circle : fair 1 adverse idescribe In notes section] DATE: <br /> 2 PRE-PURGE 9ATi!; Purge Volume Protocol(# f casing volumes) 3 <br /> Well Gas Depth(ft)108 S(Circle measured ! et Well Casing Diameter(In) Z - - <br /> - Depth-to-Water 3.z 'ss (subtract from well casing depth) Measuring Point Locatjon M a 11 •7 <br /> p Water Column 3uo t%Purge Vol Calc (for 1 casing of)X ) (o!:> _ _ p-S.-f1- _(muItl lers.2 Inch- 163,4 Inch-653, 5(nch-1 42) <br /> Field Inegectlo_n Sample AppearanceOdor <br /> +°t c+r ns+ne+°!than°TmduCt pf a+) ($ a +I ht m°dtt+t+or strong) <br /> 3. PURGE DATA: Purge Devioe a + <br /> It pumped,specify discharge rate(gpm) depth pump set at(ft) <br /> Y-OpMId INDMI tuCe pb If well purges dry,specify the following. <br /> 2,10 - (Blatt) (eumuAw+E (circle F l(tD I) time <br /> =Z 4 c� °!a 2) volume purged <br /> 3) depth-to-water <br /> 2 :7576fIy� 4) depth-to-water for 8fl%recovery <br /> 12 16 _. 2-1 .0 . 7 S-7 _4E_t5A/S 5) depth-to-water at time of sampling <br /> Total Vol Purged(gals) <br /> 4. SAMPLING DATAu No,of CQntaln Tyne of Container Re uest ss <br /> L- .+t-t Time Collected ('00— <br /> Collection Device <br /> Sample 1 ; <br /> 6. QA 1 Q "8: Duplicate(Circle) Yes 16) Sample ID <br /> Rinsate on sample collection device used on this well (Circle) Yes 1 Sample ID <br /> 6 pECgf�TAMiNg{LON: Method(Circle Stan rd Procedure 1 Other <br /> Bt+nd+rd d+aantamin+llon�stoG+tlun e°nHFu of wufiln +►twgh a <br /> fol ank un rv+Gr vin°X+Ad thm d+v6l+rin+ln wkA° +nla un w+1+r If ur°Ih+r rn+thod 1r ulad dgeriC+Lt 1h+lleId not+s ssU°n <br /> ADDITIONAL7. F;EILD NOTIrS: <br /> f Iformslgwmnff wb1 (8195) <br /> i <br />