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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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C(DNDOR EARTH TECHNOLOGIES <br /> IBe Frank West Circle,suite 1,Stockton CA 95.206 GROUNDWATER MONITORING FIELD FORM <br /> I SITE: WELL ID: <br /> PROJECT NO: 37 CONDOR PERSONNEL: W <br /> AMBIENT CONDITIONS (Circle): fair! dyers (describe in notes section) DATE: 1X/X p <br /> 2 PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) .3 <br /> Well Cas, Depth (ft.)-4—.7t (Circle.- measured/00 Well Casing Diameter(in.) 2- <br /> Depth-to-Water �`I,$S (subtract from well casing Depth) Measuring Point Location I't0 C <br /> =Water Column Purge Vol. Calc. (for 1 casing vol.) +16 �,� (multipliers: 2 inch=.183, 4 inch=.853, 5 inch=1.02) <br /> Field Inspectlorl Sam Appearance: (vlwllln �of�sheen <br /> Odor: <br /> (Specify ea{or,d 2greeof clarity,presen �productphase} (Specify slight,moderate,or strong) <br /> 3 PURGE DATA: Purge Device: 91 I-V 1 <br /> If pumped, specify: discharge rate (gpm) depth pump set at (ft.) <br /> I <br /> Titer Molume Purged Temperature Q}j �C if well purges dry, specify the following: <br /> !!j$ PM (start)) (cumulative) (circle: F/to 1)time ' <br /> 11 ` ted r.O zf•$ <br /> ?'C>9 1a Lo 2)volume purged <br /> 11P�d 1.75 2Z.o 7.03 'i7S-5' 3) depth to water <br /> rr�7 . jb pM _ Z.5 _ �-� .cb <br /> __ r _.�z s 4) depth to water for 80% recovery <br /> AM i phi T 5) depth to water at time of sampling <br /> M. <br /> Total Vol, Purged(gals.) S <br /> 4 SAMPLING DATA: Contain. Type of Contain r Requested alysifi <br /> IPA y -_ TEX _ Time Collected 1155 <br /> g oX Collection Device `x ' <br /> Sample ID 376 00 <br /> 4 5 -QAIQC SAMPLE-1. [duplicate (circle):Yes/Q Sample 10 <br /> Rinsate on sample collection device used on this well (circle): Yes/45 Sample ID <br /> 6 DECONTAMINAIIQN Method (circle): tandard Procedur I Other <br /> .(Standard decanlair Inatlon procedure consists of washing gear with a solution of organic pure water end Ilquinox and then double rinsing with organic pure water.If another method Is used,describe fn the ilaid notes section.) <br /> T ADDITIONAL FIELD NOTES: <br /> U . � � o <br /> WFormslField Formslgwmfflgwmf#.xis <br />
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