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�� tt�e# �� �..t.lr auw �� �■ tea tTal� titer �� �� mtw� t>• ws■ �■ tea �� <br /> ONS t EARIH IE' CHNDIOGLE 5 <br /> 198 Frank West Circle,sulte I,Stockton CA 95206 GROUNDWATER MONITORING FIELD FORM <br /> 1 ' S1TE: CLkacf C(� ` WELL ID:If s' <br /> PROJECT N0:_ I7 it CONDOR PER ON L: <br /> AMBIENT CONDITIONS (Clrcle): fair I adverse (descrlbe in notes section) DATE: IO Z 4 <br /> 2 PRE-PURGE DATA: Purge Volume Protocol(#or casing volumes) ?! <br /> Well Cas. Depth (ft.) (Circle: measured(gapWell Casing Diameter(in.) <br /> - Depth-to-Water___ 3'L.—S".`(subtract from well casing Depth) Measuring Point Location Af 4L <br /> =Water Column_33.2—S'-Purge Vol, Calc. (for 1 casing vol.) s. 7� - �7.Z� (multipliers 2#nch-.98 4 Inch-.B53, 5 inch-7.p2) <br /> filetd Inspection Sam Appearance: C.l6iV` � <br /> ---F- MOM_._—....,_� Odor: he <br /> {Specliy <br /> D21or!degroKaf efortIv,presence of shear or product phase) (3Peoify rllght,moderato,or strong) <br /> 3 PURGE DATA: Purge Device: , <br /> If pumped, specify: discharg rate (gpm) depth pump set at(g.) <br /> YAWme Puw Temparat If well purges dry, specify the following: <br /> • (start;t tcumuleave} (circle: F <br /> LRM <br /> ,T 1)time <br /> r'�r �' �US 2) volume purged <br /> AM I PM _ <br /> Z, �'.��.• -_Z7 v f 3)depth to water <br /> 4)depth to water for 80%recovery _ <br /> M/EM - b} depth to wafer at time of sampling <br /> Total Vol. Purged (gals.) <br /> 4 SAMPLING DATA: p Q <br /> 3 Oq 8 Time CollectedZ; <br /> Collection Device i` <br /> Sample ID O - ,3--� 10 0l <br /> QA/QC Duplicate(circle):Yes 19 Sample It] <br /> Rinsate on sample collection device used on this well(circle): Yes�1 Sample ID <br /> 6 0E9QN1 M1W1QN Method(circle Standard Procedure Other <br /> (Slandord decantamkievan procedure consists of washing gear wNh a eolu ion of organic pure water and Ilqulnox and then double rinsing wIth organic pure water.If another method Is used,desorlbe In the Mold nolea section.) <br /> 7 ADDITIONAL FIELD NC TES: <br /> O.TormsTfeld Formslgwmfflgwmff.xls <br />