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ARCHIVED REPORTS_XR0004432
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3500 - Local Oversight Program
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PR0545347
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ARCHIVED REPORTS_XR0004432
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Entry Properties
Last modified
2/6/2020 5:09:55 PM
Creation date
2/6/2020 3:39:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004432
RECORD_ID
PR0545347
PE
3528
FACILITY_ID
FA0003685
FACILITY_NAME
DBA CIRCLEK, REFUEL PETROLEUM INC.
STREET_NUMBER
419
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21938610
CURRENT_STATUS
02
SITE_LOCATION
419 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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i <br /> :TONDO _TH TEC OLOG-ES 0 _ <br /> 188 Frank West Circle,suite I,Stockton CA 95206 GROUNDWATER MONITORING FIELD FORM <br /> 1 SIT �r cr�� WELL ID: lAfU/—g - <br /> PROJECT NO: 3761 CONDOR PERSONNEL: <br /> DO e <br /> AMBIENT CONDITIONS {Circle): adverse =describe in notes section) DATE: 1 q <br /> 2 PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes)--3— <br /> Well <br /> olumes)_ -3 _`Well Cas. Depth(ft.)2_`+•78 (Circle: measured/detail Well Casing Diameter(in.) <br /> Depth-to-W2terQ '3'f (subtract from well casing Depth) Measuring Point L cation_._TKO C <br /> Water Colurnn Purge Vol. Calc. (for 1 casing vol.) 1*04 = 3, <br /> {multipliers: 2inch=.163, 4Inch=.653, 5 Inch=4.02) <br /> Field Inspection Sam Appearance: � _ <br /> 9� t 17!EW Odor: �01=107 P <br /> (Specify color,de ea of clarity,presence of sheen or product phase) <br /> (Spaclfy alight,moderals,or strong) <br /> 3 PURGE DATA: Purge Device: Dvs ' <br /> If pumped, specify: discharge rate (gpm) depth pump set at(ft,) <br /> Tang Volutne Puraed Temperaturg UH EC If well purges dry, specify the following: <br /> 1/0 <br /> (start) (furnrJulativa) (circle: F 1a 1}time <br /> I PM <br /> 7 s 2)volume purged <br /> 7 7.11 tz6�v 3) depth to water <br /> f{� <br /> IRM �� 2 7.1S <br /> IZ f <br /> AN /PM 4} depth to water far 80°/a recovery <br /> _AN_._LPJSd 5) depth to water at time of sampling <br /> Total Vol, Purged (gals.) <br /> 4 SAMPLING DATA: N.o_ of Contain_ lype of Qg0jainer Rgquested Anaivsi� <br /> Time Coilected_ (jjJ _ <br /> $1?' Collection Device •� <br /> Sample ID <br /> 5 1QA/OC SAMPE E,% Duplicate(circle):Yes,q Sample ID <br /> �— Rinsate on sample collection device used on this well (circle): Yeas No Sample ID <br /> 6 DECONTAMIN. <br /> 4TION Method {circle} tandard Procedur /Other <br /> {Standard decontuminailon procedure consists of washing gear with a sofution or organic pure walar and liqulnox and then double rinsing wkh arganic pure water,If another melhod Is used,desorlhe In the field notes section.) <br /> 7 ADDITIONAL FIELD NOTES: Jt < �-!sp I?4c�,�,,� --�• o �I <br /> I <br /> OAForms\Field Form Mgwmff gwmff_xls <br />
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