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CONDOR IEARTH 'TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> I SITE vEPAOC" WELL ID. kV a) <br /> PROJECT NO,, D CONDOR PERSONNEL: l� <br /> AMBIENT CONDITIONS(Circle): fair ! adverse describe in notes section), DATE- 1 z- <br /> 2. PRE-PURGE DATALurge Volume Protocol (#of casing volumes) 3 <br /> Well Cas Depth(ft) �ti (Circle measured 1 detail) Well Casing Diameter(!n) <br /> - <br /> Depth-to-Water-21-Z-> (subtract from well casing depth) _Measuring Point Location_�M'f <br /> Water Column `3(1117 Purge Vol Calc (for 1 casing vol) = ZZ (multipliersmch= 163, 4 inch=653, 5 inch=1 02) <br /> Field Inspection Sargle Appearance C e p -- -e Odor, <br /> -...� (SpecI y color degree of cla" presence of sheen or product phase) (Specify alight moderate or strong} <br /> 3 PURGE DATA. Purge Device_.�� - a <br /> If pumped, specify discharge rate (gpm) depth pump set at(ft) <br /> Time Vol Purged Temoerature DH E C If well purges dry, specify the following <br /> jtjL (start)) (cumulatHe) (circle F 1 C) <br /> �� /ff 2) volume purged <br /> �? 20 � 1) time <br /> Z Z <br /> v (& �— � 3) depth-to-water <br /> 17 1Z - Z `7� :!it& 4) depth-to-water for 80% recovery <br /> 5) depth-to-water at time of sampling <br /> Total Vol Purged (gals) _-___6c,Z5- <br /> 4. SAMPLING DATA. No of Contain Type of Container Requested Analysts <br /> Time Collected1-21S <br /> Collection DevicebAj 1C,1'- „- <br /> Sample ID <br /> 6. QA SAMPLES_ Duplicate(Circle) Yes 1� Sample 1D <br /> Rinsate on sample collection device used on this well (Circle) Yes /* Sample ID <br /> 6. DECONTAMINATION- Method(Circle) (Lal <br /> dard Procedure Other <br /> (Standard dticanhmMatlan procedure consists of washing pear wEth a enk pure crate!and 11 ulnox end then double rinsln wtth or ank urs�+ater If another method la used describe In the field notes section) <br /> 7. ADDITIONAL FIELD NOTES: <br /> f WormMgwmnff wb 1 (8195) <br />