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CONDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> 1. SITE. r WELL ID- $ <br /> PROJECT NO. 0-7 CONDOR PERSONNEL W <br /> AMBIENT CONDITIONS (Circle), air 1 adverse describe in notes section DATE: 1v z3 n <br /> 2. PRE-PURGE DATA: Purge Volume Protocol(#of casing volumes) 3 <br /> Well Cas Depth (ft)_50d1 (Circle measured / detail) Well Casing Diameter(in) <br /> - Depth-to-Water 3�, (subtract from well casing depth) / Measuring Point Location_ _ �G � <br /> = Water Column�j?� Purge Vol Calc (for 1 casing vol ) 116 = Zr (multipliers 2 rich= 163,4 inch=653, 5 inch=l 02) <br /> Field Inspection Sample Appearance - tib 5 k' Odor �r l ciG��,4If' <br /> (specify color degree of clarity presence of sheen or product phase) (SpecMy slight moderate or strong) <br /> 3. PURGE DATA: Purge Device 6 h-1,11- <br /> If pumped, specify discharge rate(gpm) depth pump set at(ft) <br /> Time VolPur fed Tem erature �H E C If well purges dry,specify the following <br /> - A (start) (cumuiaWe) (circle F / ) 1) time <br /> 2) volume purged <br /> 76 ,, 7 CPQ 7 / 7 R 3 3) depth-to-water <br /> 4) depth-to-water for 80%recovery <br /> 5) depth-to-water at time of sampling <br /> Total Vol Purged (gals) <br /> 4. SAMPLING DATA No of Contain Tyne of Container Reguested Analysis <br /> 27_� rC�a Time Collected-- -����--� <br /> Collection Device <br /> — Sample ID 110-7- <br /> V7�� L3 <br /> 5 gA 1 QC SAMPLES_ Duplicate (Circle) Yes / 6 Sample ID <br /> Rinsate on sample collection device used on this well (Circle) Yes 1 o Sample ID <br /> 6 Ea0NTAMINATIOhI Method (Circle Other <br /> (Standard decontamination procedL re consists of washing gear with a"llirg <br /> li uindx and then double rinsing with or anic pufo water If another method Is used describe In the field notes section) <br /> 7 ADDITIONAL FIELD NOTES: <br /> f lformslgwmnff wb1 (8195) <br />