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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 /> ??yam 188 Frank West Circle,Suite I,Stockton CA 95206 GROUNDWATER MONITORING FIELD FORM <br /> zit ' <br /> 1 SITE: � V'I l�i f%C'Ten LQ�' WELL ID: � W ' <br /> PROJECT NO: 31 5 f J CONDOR PERSONNEL-=-/� C Q <br /> C. f5irAdverse AMBIENT CONDITIONS (Circle (describe in notes section) DATE: 72q/ Q <br /> 2 PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) <br /> Well Cas. Depth (ft.) 17,Zj (Circle: easure detail) Well Casing Diameter(in.) �- <br /> -Depth-to-WaterQ� a y0(subtract from well casing Depth) Measuring Point Location (, . <br /> =Water Column "7,2`3 -Purge Vol. Calc. (for 1 casing vol.) E�•(63 = t., ( (multipliers:2inch=.163,4 inch=.653, 5 inch=1.02) 3,5 <br /> Field Inspection Sam Appearance: G���6 Q n o _ I'1 O Odor: O 341f <br /> (Specify color,degree larity,presence of s een or product phase) (Specify slight, erate,or strong) <br /> 3 PURGE DATA: Purge Device: ,�'f�US-t� <br /> If pumped, specify: discharge rate(gpm) depth pump set at(ft.) <br /> Time Volume Purged Temperature pH EC If well purges dry, specify the following: <br /> a A (start) (cumulative) (Circle' C) V 1)time <br /> AM/_PM �o. Z� ��. 2)volume purged <br /> qa/ ' 3)depth to water <br /> P `Y3 f� Q 4)depth to water for 80% recovery <br /> 66)AM/PM7� t 5)depth to water at time of sampling <br /> A <br /> Total Vol. Purged (gals.) rj <br /> 4 SAMPLING DATA: No.of Contain. T a' eAnalysis <br /> _ —G Time Collected do® <br /> Collection Device <br /> Sample ID ' I S( Lt/ -- 7 a3 <br /> 5 QA/QC SAMPLES: Duplicate(circle):Yevc Sample ID <br /> Rinsate on sample co on device used on this well (circle): Ye /N Sample ID <br /> 6 DECONTAMINATION Method(circl andard Procedur /Other <br /> (Standard decontamination procedure consists of ution of organic pure 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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