My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0004433
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MAIN
>
419
>
3500 - Local Oversight Program
>
PR0545347
>
ARCHIVED REPORTS_XR0004433
Metadata
Thumbnails
Annotations
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
Scanner
SJGOV\wng
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
32
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
r r r �r rr ■r r r r � r r r rr � r r� r <br /> QaNDO _ EARTH TECHNOLOGIES <br /> 188 Frank West Circle,Suite 1,Stockton CA 95205 GROUNDWATER MONITORING FIELD FORM <br /> i SITE: Qo /� � r- WELL ID: <br /> PROJECT NO: 3761 CONDOR PERSONNEL: W /,�- <br /> AMBIENT CONDITIONS (Circle): fair 1 dyers r. <br /> describe in notes section) DATE: 1147/02- <br /> 2 <br /> 2 7 p2 PRE-PURGE DATA: Purge Volume Protocol (#of cn volumes) .3 <br /> Well� Cas. Depth (ft.) B?-Scl (Circle: easure ! 'l Well Casing Diameter(in,) z <br /> Depth-to-Water--R&J .(subtract from well casing Depth) Measuring Point Location n0 G <br /> Water Column Burge Vol. Cate. (for 1 casing vol.) _ <br /> (multipliers: 2inch=.1 63, 4 inch=.853, 5 inch=1.02) <br /> Field Inspection Sam Appearance: Odor: �— <br /> (Specify color,degree of Gar€ty,presence of sheen or product phases (Specify alight,moderate,or strong) <br /> j 3 PURGE DATA: Purge Device: ,`Sblit <br />� If pumped, s ecifY� discharge rate <br /> (gPm) depth pump set at (ft.) <br /> Time yolume Purged Temperature PE EQ If wellur es <br /> mulative P g dry, specify the following: <br /> AM-f PM (start) (cu <br /> (circle: F 1� 1)time <br /> R -- � 2) volume purged <br /> t <br /> 3) depth to water <br /> 4) depth to water for 80% recovery <br /> ,' <br /> 5) depth to water at time of sampling <br /> AM PMper <br /> Dotal Vol. Purged(gals.) <br /> 4 SAMPLING DATA: No. of Contain. TypeeofC ine <br /> T W-467 TFX Time Collected <br /> $ Collection Device 'J <br /> Sample ID 3761 — f[Lr/S -1s �40 2- <br /> 55 QAlQC SAMPLIM- Duplicate (circle):Yes/a Sample ID <br /> Rinsate on sample collection device used an this well (circle): Yes I%n Sample ID <br /> 6 DECONTAMINATfON Method (circle): tandard Procedur 1 Other <br /> (Standard decontar rinatlon procedure consists of washing guar with a solution of orgenlc pure water and Ilquinox and then doubfa rinsing with organic pure water tf another method Is used,describe in the field notes section.} <br /> T ADDITIONAL FIELD NOTES: <br /> 0AForrms\Fiefd Formslgwmfflgwrnff.xls <br />
The URL can be used to link to this page
Your browser does not support the video tag.