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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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W—C)NDOR E TH TECHNOLOG E5 <br /> 188 Frank West Circle,Suite I,Stockton CA 96206 GROUNDWATER MONITORING FIELD FORM <br /> 1 SITE: 1 <br /> �'S,teS5 ImLL ID: (/_ <br /> PROJECT O:; <br /> - --- CONDOR PERSONNEL; <br /> AMBIENT CONDITIONS (Circle): adverse (describe in notes section) DATE: <br /> 2 FIRE-PURGE DATA' Pure Volume Protocol (#of casing volumes) 3 <br /> Well Cas, Depth (It.) 41.311 (Circle: measured I detail) Well Casing Diameter(in.) �- <br /> Depth-to-Water_ 24-' in subtract from well casing g De th <br /> P ) Measuring Point Location_/ 3 <br /> =Water Column_ Purge Vol. Calc. {for 1 casing vol.) 1+, 3( = 3. ] -(multipliers:2 inch=,163,4 inch-.653, 5 inch=1 A2) <br /> Fleid Inspection :yam Appearance: ��etq� �v Odor: r?p/J e <br /> (Specify color,degree of cfliflty,presence of sheen or product phase} ISpacify slight,moderate,or strong) <br /> - <br /> 3 PURGE DATA: Purge Device: Sttoe <br /> If p um ed, specify:�� dischar a rate <br /> (ppm) depth pump set at(ft.) <br /> Time Volume Purged Ioefnl2erature tH E_Q if well purges dry, specify the fo#lowing: <br /> 7. M (start) (cumulative) (circle: F 1)time <br /> M 4.5 211; 7.•S8 ✓r z vo <br /> �3 irfine purged <br /> ) p 9 <br /> �� `1•� Z3. 7 6 L ,� 3)depth to water <br /> �t]8 I Ply] ! • '�---- s 7.6 _ ,� 4) depth to water for 80% recovery <br /> M/PN) <br /> �' AM/Pt�E 5) depth to water at time of sampling <br /> Total Vol. Purged (gals.) <br /> 4 SAMPLING DATA; N-p. of Contain. Type Qf CoaLakjer Begueste.dAnalvsi!j <br /> r#<7 � _.� Time Collected f ZiD <br /> Collection Device 's <br /> Sample ID <br /> 5 QA/QC S A Duplicate (circle):Yes/Eo Sample ID <br /> Rinsate on sample collection device used on this well (circle): Yes/ Sample ID <br /> i <br /> 6 DECONTAMINALD&Method (circle): d Pr re 1 Other <br /> ,(Standard decontaminEtlon procedure consists of washing gear with a solution 'f organic pure water and HgUnox and then double rinsing with organic pure water.If another method Is used,describe in the livid notes section.} <br /> 7 ADDITIONAL FIELD NOTES: -{ n oor G r�• .i• <br /> OAFormslField Formslgwmft\gwmff.xls <br /> I <br />
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