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CON OR EAT • <br /> EC OL�G ES <br /> 488 Frank West Circle, suite I,Stockton CA 95208 GROUNDWATER MbNITORING FIELD FORM <br /> SITE Vied&_ WELL 1D: iQ <br /> PROJECT NO:b--O r <br /> AM131ENT CONDITIONS (Circle): air!adverse (describe In notes sectlor;) DATE DR PERSONNEL: � <br /> 2 PRE-PURGE DATA: Purge Volume Protocol N of casing volumes) <br /> Well Cas. Depth {Circle: measured 1 detai#} �t <br /> Depth--to-WaterWeil Casing Diameter(in.) <br /> (subtract from well casing Depth) Measurinp Point Location 'f1QC, <br /> =Water Column��Purge Vol, Calc. (for 1 casing vol,) a-10 <br /> • (multipliers:2 inch=.163,4 inch=,553, 5 inch=1.02) <br /> Field Inspection Sam Appearance: M� t��� <br />� 2—. Odor: <br /> (Specify color,degree of clarity,pressnce of sheen ar product phase) <br /> (Sp.ry dight,moderate,or strong} <br /> 3 PURGE DATA: Purge Device- i ` ' <br /> If pumped, specify: discharge rate (gpm). depth pump se!at{f!.} <br /> 11m <br /> YQiune Puroed �ratur� p� � � if well purges dry, specify the fallowing: <br /> ��.j�,AM I PM (start) (cumulative) (circle: F ALpM � I) time <br /> l; <br /> M I PM ' -- •� ft <br /> 2) volume purged`- <br /> 1 �---- <br /> L�q__...�� � p � / r 3)depth to water <br /> 4) depth to wafer for 80'1 recovery <br /> ----------�— ------ 5) depth to water at time of sampling <br /> Total Vol, Purged (gals.) <br /> 4 SAMPLING DATA: leo.n[Contain, g �alner <br /> Time Collected�U 0 <br /> Collection Oevlce i <br /> Samples p V rD <br /> 5 _A C PLES: Duplicate(circle):Yes 16> Sample ID <br /> Rinsate on sample collection n device <br /> used on this wellcircle , <br /> { } Yes® Sample ID <br /> 6 =0NIANUNAILOA Method (circle).<&ad rd prose /Other <br /> (Standard deconSaminal4on procedura consists or washing Bear with a solution of organic pure water and Ilquinox end then double rinsing with organic pure water.if another method Is used,descdbo In the field notes section.) <br /> 7 ADDITIONAL, FIELD NCTES: �• � <br /> i <br /> 0:11"orms\Field Formslgwmfflgwrnff.xls <br />