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ARCHIVED REPORTS_XR0004433
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3500 - Local Oversight Program
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PR0545347
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ARCHIVED REPORTS_XR0004433
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Entry Properties
Last modified
2/6/2020 4:51:01 PM
Creation date
2/6/2020 3:39:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004433
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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(.OND RTH T C N OGLES <br /> s <br /> 188 Frank West Circle,Suite 1,Stockton CA 45206 GROUNDWATER MONITORING FIELD FORM <br /> 1 SITE: W1=LLtD: (�- <br /> - Li-. <br /> PROJECT NO: 37 CONDOR PERSONNEL: <br /> AMBIENT CONDITIONS (Circle): fair/ d s :crlbe in notes section) DATE /� ,p / <br /> dyers <br /> i <br /> 2 PRE-PURGE DATA: Purge Volume Protocol (#of casin volumes) <br /> Well Cas. Deptlti (ft.) 19.6a (Circle: easure / Well Casing Diameter(in.) <br /> Depth-to-Water (subtract from well casing Depth) Measuring Point Location /M+0 G <br /> = Water Column_ .�� purge Vol. Cafe. (for 1 casing vol.) .�S - _�C - <br /> (multlpllers;2 inch-.163,4 inch=.653, 5 inch=1.02) <br /> Field Inspection Sant Appearance: e0�0 1 <br /> •... J-� �.-� .r- Odor: on <br /> {Spedfy color,degree of dartfy,Pr encs of sheen or product phase) (Spedfy slight,moderate,or strong) <br /> 3 PURGE DATA: Purge Device:_ D, S 21,14 11 fC:i _ <br /> If pumped, specify: discharge rate(gpm)` depth pump set at(ft.) <br /> Tim �Lol-LjmkFufgffd Immature pH EC <br /> If wellpurges�d�rY'O$1QLpM (start) specify <br /> clfY the following: <br /> 02�1 ' (cumuative) (circle: F/to 1)time <br /> S _ <br /> 653 <br /> 3 ,�o 2)volume purged . <br /> AM t PM <br /> AM1PM _—,� 3) depth to water fir„ <br /> W 4) depth to water for 6—D/o-rreccovery <br /> 5) depth to water at time of sampling A <br /> ^OW Vol. Purged(gals.) <br /> 4 SAMPLING DATA- No. f <br /> I�Lo�pnialn. TYPe QLQmlamne fps uested sic <br /> 'f --LAM Time Collected <br /> I <br /> $ oX Collection Device 's 'I <br /> Sample ID �lz <br /> �pZ <br /> 5 QA=SAMPUIS, Duplicate(circle):Yes/a Sample ID <br /> Rinsate on sample collection device used on this well(circle): Yes/ <br /> �b Sample ID I <br /> I <br /> 6 0fJ2LAjLWMethod (circle); tandard Procedur /Other <br /> (Standard decontai ilnatlon procedure consists of washing gear with a solution of organic pure water and tiqulnox and then double rinsing with organic pure water If another method 1s used,describe in the field notes section.) <br /> 7 ADDITIONAL FIELD NOTES: _ <br /> � <br /> Ce Aa vcr/ - sed.•rr and to h�4u <br /> O:IFormslField Formslgwmfflgwmff.xis <br /> I <br />
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