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3500 - Local Oversight Program
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PR0544571
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Last modified
6/25/2019 8:29:57 AM
Creation date
6/25/2019 8:11:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544571
PE
3528
FACILITY_ID
FA0000214
FACILITY_NAME
PILKINGTON NORTH AMERICA INC PLANT 10
STREET_NUMBER
500
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330-9739
CURRENT_STATUS
02
SITE_LOCATION
500 E LOUISE AVE
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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CONDOR EARTH TECHNOLOGIES <br /> 188 Frank West Circle,Suite 1,Stockton CA 95206 GROUNDWATER MONITORING FIELD FORM <br /> 1 SITE: �/- F WELL ID: M GV 1"7 <br /> PROJECT NO: CONDOR P-JC E�SO�JNEL: C d <br /> AMBIENT CONDITIONS(Circle fa' adverse (describe in notes section) DATE: 7 Q a3 <br /> 2 PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes)?— <br /> Well Cas. Depth (ft.) (Circle:EEure detail) Well Casing Diameter(in.) IZ-- <br /> - Depth-to-Water i a, 67(subtract from well casing Depth) Measuring Point Location 0�LC__ <br /> =Water Column- A,n 16 -Purge Vol. Calc. (for 1 casing vol.) A ( 6?i = 1-3/ (multipliers: 2 inch=.163,4 inch=.653, 5 inch=1.02) 3. 1 <br /> Field Inspection Sam Appearance: L �,vul" (��J- a e_ Odor: r,Q F1 <br /> (Specify color,degree molarity,presence of sheen or product phase) (Specify slight,moderate,or strong) <br /> 3 PURGE DATA: Purge Device: �� a5,- e <br /> If pumped, specify: discharge rate(qpm) depth pump set at(ft.) <br /> Time Volume Purged Temperature pH EC If well purges dry, specify the following: <br /> (start) (cumulative) (circle: F/C ) t 1)time <br /> AM/ Q � &7 05 yS 2)volume purged <br /> A / 2- `G < e _ 2 3) depth to water <br /> A ff 07. ( 1�— 4)depth to water for 80% recovery <br /> LAM/0 1 5)depth to water at time of sampling <br /> /P <br /> Total Vol. Purged (gals.) !- <br /> 4 SAMPLING DATA: No. of Contain. Type of Container Requested Analysis <br /> Va 6�L X "�;Q)( o Time Collected 13:3 Q <br /> Collection Device h'�' e <br /> Sample ID S (✓ 7 <br /> 5 QA/QC SAMPLES: Duplicate (circle): Yes(! <br /> _Ko <br /> Sample ID <br /> Rinsate on sample colllee✓tion device used on this well (circle): Yes o Sample ID <br /> 6 DECONTAMINATION Method (circ) : :inglearwlth <br /> Procedu e/Other <br /> (Standard decontamination procedure consists of a organicpure water and liquinox and then double rinsing with organic pure water.If another method is used,describe in the field notes section,) <br /> 7 ADDITIONAL FIELD NOTES: <br /> O:\Forms\Field Forms\gwmff\gwmff.xls <br />
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