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CONDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> SITE, C �` t WELL 10 tAl— S <br /> PROJECT NO CONDOR PERSONNEL, a <br /> AMBIENT CONDITIONS Circle , fat 1 adverse describe in notes section DATE <br /> 2 PRE-PURGE DATA; Purge Volume Protocol (#of casing volumes) <br /> Well Cas Depth (ft) 6 »S (Circle measured 1 detail Well Casing Diameter(in } �- <br /> - Depth-to-Water 3 (subtract from well casing depth) Measuring Point Location <br /> W Water Column 3L Purge Vol Calc (for i casing vol ) = S (multipllers 2 inch= 163, 4 inch= 653, 5 inch=i 02)17, 0 <br /> Field InsPeg! Sam le Appearance r; Odor tt <br /> (Specify color degree of clarity,presence of sheen or product phase) {5pecKy slight moderate Or Strong) <br /> 3, PURGE DATA Purge Device <br /> If pumped, specify ischarge rate {gpm} depth pump set at(ft} <br /> Time _VolPurged Temcera_llge �H I<C If well purges dry, specify the following <br /> i time <br /> 13 17 (start) (cumulative) (cirde F 16) IV5 ) <br /> Z3 2} volume purged <br /> 13- �� � 3) depth-to-water <br /> 4) depth-to-water for BO% recovery <br /> � ) P 5 depth-to-water at time of sampling <br /> ! <br />� Total Vol Purged{gals � <br /> 4 SAMPLING DATA, No, of Contain Type of C_onta_iner Requested Analysis <br /> ,5 03 r Time Collected 1 *a Z <br /> Collection Device r �7G tri w vp{ `� <br /> Sample IDI <br /> S. QA t QC SAMPLES; Duplicate (Circle) YesNo Sample ID <br /> Rinsate on sample collection dav4e used on this well (Circle) Yes 1 o Sample 1D <br /> 6. DECONTAMINATION• Method (Circl <br /> :7� ! Other <br /> (Standard deco�taminativr4 procedure conslp�of washing goat with a eaqulnox and then doudle rinsln wRh organic pure water 11 another method Is used describe In the held notes sec4an y <br /> 7. ADDITIONAL FIELD NOTES• <br /> f lformslgwmnff wb1 (8195) <br />