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o,.,� :� ...tee • .�. �. i■� tater � � �■� i� � Ili Ili � <br /> OXMI EARTH Tr-Clqmnwags <br /> 180 Franf(West Circle,sults I,stflcktorr CA 95208 GROUNDWATER MONITORING FIELD 'FORM <br /> I $ITE: CA 6 o j ,� WELL ID: <br /> PROJECT N0.___ 17 ;7 CONDODATEPEROAMBIENT CONDITIONS (Circle): fair/adverse (describe In notessection) <br /> z PRE-PURGE DATA: Pur a Volume Protocol (#of casing volumes) ?j <br /> Well Cas. Depth (ft.), � (Circle; measured data <br /> -De th-ta-Water *M >' Well Casing Diameter <br /> p lip from well casing Depth) Measuring Paint Location /�'t 4G <br /> Water Column 1�rPurge Vol, Calc. (for 1 casing vol,) 7� s gs— <br /> (multipliers��4 inch=.653, 5 Inch=1.02) <br /> Field inspection Sam Appearance: P'.4 ',y` <br /> ----� o��. Odor: /VakL <br /> fapscTY color,degree or clarity,pres�ae of sheen or praduai phase) (Spedy s[Ighl,moderate,or strong, <br /> 3 PURGE DATA: Purg4=Device: �hl <br /> If pumped, Specify: ddepth pump set at(ft.) <br /> Tim Va(urnt��d IRMperature <br /> 3: (start) (cumulative) AH EQ If well purges dry, specify the following: <br /> 406 ) (circle: F 1� 1)time <br /> p7 AM 1 PM 5-31Z Z•Z .S 1v2)volume purged <br /> IV <br /> ODM(L'M {, Z ZC. +vf 3)depth to wafer <br /> AM 1 i�M vJ 4)depth to wafer for BD%recovery <br /> �AM/AM ------- 5)depth to water at time of sampiicg _ <br /> Total Vol. Purged (gals.) �- <br /> 4 SAMPLING DATA: )�, lQnlafn. <br /> 3 �q BE Time Collected <br /> --- Collection Device D vim/ <br /> Sample IDOr— <br /> $ QAtQ9_SAMPS&- Duplicate (circle):Yes 19 Sample ID r <br /> Rinsate on Sample collection device used on this well (circle): Yes <br /> Sample ID _ <br /> e QE9D IAfflNATION Method (circle • Stan�, n <br /> Other ^w <br /> (Standard decontamination procedure consists of washing gic pure water and llqutriox and(hers double rinsing with organic pure water.If another method is used,describe 1n She Tle:d notes section.} <br /> 7 ADDITIONAL_ FIELD NOTES: <br /> -------------- <br /> O-Tormfffeld Formslgwmfflgwmff.xls <br />