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188 Frank West circle,suite i,Stockton CA 86206 GROUNDWATER MONITORING FIELD FORM <br /> 1 51TE: C* of WELL ID: _ ?� <br /> PROJECT NO: 17�7 CONDOR PER ON L: <br /> IM340 --- <br /> AMBIENT CONDITIONS (Clrcte): fair!adverse (descrlbe In notes section) DATE: 10 W O <br /> 2 PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) '?! <br /> Weft Cas. Depth(ft.) ,�(Circle: measured Beta Well Casing Diameter(In.) 2 �� <br /> -Depth-to-Water 3.s• 7.(suhtract from well casing Depth) Measuring Point Location /if 0G <br /> w Water Column— ��•Z�'LPurge Vol, Calc. (for 1 casing vol.) �• 7 Zfr (nrtult€p€tars; inch�,163, €nc}�-.653, 5 inch-1.02) <br /> Field inspection Sam Appearance: l�.l" _ F� M� <br /> Odor: <br /> (SPectfy eotor,de ree of dertty,fresence of sheen or product phase) (Spec[fy slight,moderate,or:tron) <br /> 3 PURGE DATA: Purge Device: <br /> If pumped, specify: discharge rate (gpm) depth pump set at(ft_) <br /> Temparature pH EG if well purges dry, s specify the following: <br /> X01.1 M I PM (start) p g p Y <br /> 1047 (cumulative) (circle: ) / !A 1)time . �_ <br /> 0,1 5 ` . 7 Gf 2)volume purged <br /> AM/PM1�I r �--�-�--- f 3)depth to water <br /> AM 1 PM ._ZS 2 —Z-2L suf 4)depth to water for 80% recovery <br /> AM/MR. 5)depth to water at t€me of sampling <br /> Total Vol. Purged (gals.) <br /> 4 SAMPLING DATA: <br /> 0a4- —�--rB� � Time Collected &I <br /> Collection Device <br /> -- Semple ID 4 - "' JQ lot <br /> 5 QALQC 5AMPLE - Duplicate (circle):Yes/(9 Sample lD <br /> Rinsate on sample coilection device used on this well (circle): Yes Sample ID <br /> B <br /> DEG NTAIMNAllQd_Method (circle • Standard Procedure Other <br /> (Standerd decontamination procedure consists of washinp gear with a so ut an of orgenlc Pure water and Ilqulnox and then double riming with argante pure water.if another method Is used,desellbe In the nald notes section.) <br /> 7 ADDITIONAL FIELD NOTES: <br /> OVorrn field Formslgwmfflgwmff.xis <br />