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• CO �� E EC Lo 5 • <br /> 188 Frank West Circle,Suite t,Stockton CA 9520$ GROUNDWATER MONITORING FIELD FORM <br /> siTE: CkE .rj WELLM, <br /> PROJECT NO:____Lr 7 <br /> GONDOR P�OL,AM131ENT CONDITIONS (Circle): fair1adverse (describe tri notes section) DATE: 1 <br /> 2 PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) ?! <br /> Well Cas. Depth (t3.) (Circle: measured der <br /> -Depth-to-Water 39•SZ Well Casing Diameter(€n.) <br /> (subtract from well casing Depth} Measuring Point Location /if DL <br /> Water Column, Purge Vol. Calc, (for 1 casing vol,) <br /> (mu€fipl€eE" irac11-.1$ 4 €rich=.653, ;a Inch=1.02) <br /> !=laid Inspection Sam Appearance: <br /> {Spec y color,degree of dartty,pre ante of sheen or product phase) Odor, , <br /> ( p city s:lghl,moderate,or,treng) <br /> 3 PURGE DATA: Purge Device: ` <br /> If pumped, specify: discharge rale (gpm) depth pump set at(ft.)-._--_ <br /> if= <br /> a�t AMIN (start) UH EQ if well purges dry,specify the fol:owing: <br /> i� (cumutat3vef <br /> (circle.- a (', 1)time <br /> ( ` AMIEM ZS 02)volume purged , <br /> IL la�. 5& 3)depth to water <br /> � <br /> AM/tM 57 _. 4)depth to water for 80'/orecovery <br /> � <br /> AM 1 EM -- 5) depth to water at time of samp;€ng _ <br /> Total Vol, Purged (gals.) <br /> 4 SAMPLING DATA: N� - <br /> 3 04 g r <br /> Time Collected i�1� <br /> Collection Device ISM <br /> Sample 1D 0 <br /> 5 9AQg3—AMRLES: Duplicate(clrcle):Yes 1(9 Sample ID <br /> Rinsate on sample collection device used on this well (circle): Yes <br /> 0 Sample ID <br /> 6DE90MNIAMMATIOXMethad (circle Standard Procedure Other <br /> (9renderd decontemkiatian procedure consies of washing seat with a so u ion of organic pure water and Itquinox and then double rinsing with organic pure water.tr another method Is used,describe In the field notes sscticn.) <br /> 7 ADDITIONAL. FIELD NCTES: 3 <br /> r <br /> VA <br /> 0' T ormffleld Form slgwrrIfAgwmff,xls <br />