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ARCHIVED REPORTS_XR0004434
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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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18 <br /> CONDOR EARTH TECHNOLOGIES <br /> 188 Frank west Circle,suite i,Stockton CA 95206 GROUNDWATER MONITORING FIELD FORM <br /> I SITE: go 'f7ttIrCll�! nWELL ID: "W-6 <br /> PROJECT NO:� CONDOR PERSONNEL: e /s <br /> AMBIENT CONDITIONS (Circle): fair adverse (describe in notes section) DATE: 44JA/b2-� <br /> 2 PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) 3 <br /> Well Cas. Depth ('t.) 23'79 -(Circle:EEi>detail) Well Casing Diameter(in.) <br /> Depth-to-Water- LZ•v- (subtract from well casing Depth) Measuring Point Location "'V _x"gl C <br /> =Water Column__L,7At___Purge Vol, Calc, (for 1 casing vol.) . . $ /�O (multipliers: 2 inch=,163, 4 inch=.653, 5 inch=1.02) <br /> Field Inspection Sam Appearance: ll I oor ,asr, Odor. Qr'e <br /> (Specifyclilor,degree o(clarity,presence of sheen or product phase) (Specify slight,moderate,er strong) <br /> 3 PURGE DATA: Purge Device: D-1-1- <br /> If <br /> .5If pumped, specify: discharge rate (gpm) depth pump set at(ft.) <br /> .��( eTemp-terature <br /> e e PH EG_ If well purges dry, specify the following: <br /> AM_/ D (start) (cumulafivey (circle: F 0 1)time_4 2.Z8 <br /> M'M > -- R 2)volume purged � S <br /> AML_M — '-�L 3) depth to water 43 , <br /> —AM I FM —�-� 4) depth to water for 80% recovery <br /> BM/F 5) depth to water at time of sampling 2.,,ZZ2 <br /> AMLLE M <br /> To Vol. Purged(gals.) <br /> 4 SAMPLING DATA: No. of Contain. IM.Of Containe Bequested Analysis ! <br /> -- Ud �r ��'42 1��� Time Collected ! 3.)o <br /> �y Collection Device_�,'�_ $.R•%•� <br /> i <br /> Sample ID 6� — GJ <br /> 5 QALQC SAMPLE Duplicate(circle): Yes l%o Sample ID <br /> Rinsate on sample collection device used on this well (circle): Yes/EO Sample ID <br /> i <br /> 6 DECONTAMINATION Method (circle): tandard Procedure I O er <br /> .(Standard decontamination procedure consists of washing gear wt a organic pure water and Ilquinox and then double rinsing with organic pure water.If another method is used,describe in the field notes section.) <br /> 7 ADDITIONAL FIELD NOTES: <br /> S �`rf o d ar-7 S dll v <br /> Sa <br /> 0:1Forrns\Fleld Farmslgwmfflgwmff.xls <br /> I <br />
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