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ARCHIVED REPORTS_XR0004434
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PR0545347
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ARCHIVED REPORTS_XR0004434
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Entry Properties
Last modified
2/6/2020 4:56:16 PM
Creation date
2/6/2020 3:40:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004434
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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rMI = r = r r r r r r r r r Mile <br /> GCONDOR EARTH TECHNOLOGIES <br /> 488 Frank West Circle,Suite I,Stockton CA 95206 GROUNDWATER MONITORING FIELD FORM <br /> 1 SITE: 'yc P4n+eCr* Wf;LL 1D: Jy(.r/! �I <br /> PROJECT NO:— 37( CONDOR PERSONNEL: r <br /> AMBIENT CONDITIONS (Circle): air adverse (describe in notes section) DATE: pZ <br /> i <br /> 2 PRE-PURGE DATA: Pu�r�fe Volume Protocol (#of casing volumes) 3 <br /> Well Cas. Depth(ft.) ��l•T� (Circle: easure detail <br /> Well Casing Diameter(in.) <br /> -Depth-to-Water ?�,$� (subtract from wetl casing Depth) Measuring Point Location <br /> =Water Column_ Z _Purge Vol. Calc. (for 1 casing vol.) 1.Z. or, (multipliers: 2inch=,163, inch=,653, 5inch=1.172) <br /> Field inspection SamSamAppearance: �'(Cti� ��/ �]ons � <br /> Od /� n <br /> (Specify co or,degree of clarily,presence of sheen or product phase) (Specify slight,moderate,or strong) <br /> 3 PURGE DATA; Purge Device; D.' <br /> If pumped, specify: discharge rate (gpm) depth pump set at (ft.) <br /> BUM a Temorature aH EQ If well purges dry, specify the following: <br /> 114 f�M 1�� (start) (cumulative) (circle: F 491) ���� 1)time <br /> 1'� 23.6 i'L-,9S� 2)volume purged <br /> it L7 �'.$ z�}. 9 �S 3) depth to water <br /> ZAM j5pAMIiM 3 Z q"'2 9-918 1"l- 4) depth to water for 80% recovery <br /> 5) depth to water at time of sampling <br /> Total Vol. Purged (gals.) 5.7 <br /> 4 SAMPLING DATA°, N-Q of Contain. Type of Container Requested Aril <br /> O19 _ t N-67 TFX Time Collected 05c> <br /> g� Collection Device .'S ,/ev- <br /> Sample ID '3741 —Awl - 2- <br /> 5 <br /> 5 -QAIQC SAMPLES: Duplicate(circle): Yes/ to Sample ID <br /> Rinsate on sample collection device used on this well (circle): Yes/talo Sample ID <br /> 6 DECO TAMINA71l2N-Method (circ) tandar�Proce�dur t Other <br /> (standard decontamination procedure consists of washing gear with a solution 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 /> I <br /> 7 ADDITIONAL FIELD NOTES; eye tre l[ edea r b ro O <br /> 4 <br /> 0:\ orms\Field Formslgwmfflgwmff.xis <br />
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