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Groundwater Quality Sampling Form (EXAMPLE) <br /> Site Name Permit No. <br /> Monitoring Point No. Date/Time <br /> Name of Person Sampling <br /> Name of Person Filling out Form <br /> Type of Monitoring Point <br /> ❑ Groundwater Monitoring Well 0 Piezometer 0 Other: <br /> Purpose of Monitoring <br /> ❑ Baseline 0 Point of Compliance(POC) 0 POC Background 0 Corrective Action Monitoring <br /> ❑ Other: <br /> Monitoring Point Conditions <br /> General Description/Condition/Other Comments: • <br /> Was water discolored? If so,describe: <br /> Does water have odor?If so,describe: <br /> Time pumped before sample: <br /> Field Measurements <br /> Time Sampled: <br /> Weather Conditions: <br /> Equipment Used: <br /> Time Pumped Before Sample: Pump Rate: <br /> Measurements After Stabilization (Include Units): <br /> ' <br /> Depth Temperature pH Dissolved Oxygen <br /> Conductivity Specific Conductivity <br />