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&N—D—OR-EARITHTECH QLOGIgS <br /> • • <br /> 188 Frank West Circle,5ulte i,Stockton CA 95206 GROUNDWATER MONITORING FIELD FORM <br /> 1 SIVE s 5— . .'G WELL Ip <br /> PROJECT NO X07 � jo <br /> AMBIENT CONDITIONS (Circle} fa#r adverse (describe#n notes section} DATE CONDOR PER5�NEL � �C s <br /> 2 PRE-PURGE DATA Purge Volume Protocol(#of casing volumes) 3 <br /> Well Cas Depth (ft) 6 <br /> Depth-lo-WateT �"� (Circle measured 1 e a •� <br /> Well Casing Diameter((n) <br /> Water ColumnZ <br /> - nL8 (subtract from well casing Depth) Measuring Point Location <br /> __ Zk Purge Vol Calc (for 1 casing vol ) /- f'3 So <br /> Field Inspection Sam Appearance 4 M k ,�, Odor --— <br /> (multipliers 2 inch= 1t33r,y , 4 Inch=Cti3, 5lnch�l 02) <br /> /�•�>a f,Ud <br /> (Specify talar daerea of clarity,presence of sheen or product phase} (Specify slight moderate or strong) <br /> 3 PURGE DATA Purge Device <br /> If pumped, specify discharge rate (gpm) depth pump set at (ft} <br /> I1in� YWWR0uraed I Rl3I <br /> ,/j'Str AM LEM (start) F if well purges dry, specify the fallowing <br /> (o�mu�ativa) (Circle F 1 1)time <br /> 0 1FM l 5"D _ 1?.r ��.s�.... _irs�.a� 2)va€ume purged <br /> o AMLP_I 3.00 Y-- _T <br /> L�=yAM/PM —f� G �6—��a -,lL— s 3) depth to water <br /> s0 _ _ <br /> -- --- � 4} depth to water for 80% recovery_ <br /> AAIL I?M — 5)depth to water at time of sampling <br /> Total Vol Purged(gals} ,S p �"--- --- <br /> 4 SAMPLING DATA Ng_p IY_rie of Container <br /> App#$ Time Collected 12:G S— <br /> T� Collection Device ' <br /> Sample ID 17 p <br /> 5 9AIflC SAMPLES• Duplicate(circle) YesNo Sample 1D <br /> Rinsate on sample collection device used on this well (Circle) Yes kD <br /> Sample ID <br /> 6 pEC_QAIAMjNAT1WMethod(clrcie andard Procedure <br /> Other <br /> {$!andard decontamination procedure oonals(a of washing pear with a solution of organic pure water and Ilqulnox and than double rinsing with organic pure water If another rnathod Is used describe In the field notes section J <br /> 7 ADDITIONAf. FIELD NOTES 7 <br /> s r Z+>rw t r St <br /> O 1FormsiiFlald Formslgwmfflgwmff x#s <br /> I <br />