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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 EARTH TECHNOLOGIES <br /> 188 Frank West Circle,Suite 1,Stockton CA 95206 GROUNDWATER MONITORING FIELD FORM <br />� c <br /> 1 SITtc: pv e- Rc,g WELL ID: 4/- <br /> PROJECT O:_ CONDOR PER ONNEL: tiJ <br /> AMBIENT CONDITIONS (Circle): a�'I I adverse (describe in notes section) DATE: <br /> 2 FIRE-PURGE DA7APur e Volume Protocol(A of casing volumes) <br /> Well Cas. Depth ('ft.) L (Circle: measured 1 detail) Well Casing Diameter(in.) �^ <br /> Depth-to-Waller. _(subtract from well casing Depth) 4.3f 7Measuring Point location 3 i <br /> =Water Column_-jb.�_Purge Vol. Caic. (for 1 casing vol,) 3 .fl (multipliers. 2 'inch-.1$3, 4 inch=.653, 5 inch=1.02) <br /> Field Inspection Sam Appearance: ' -JC'KCd n Odor: /70/7 e <br /> (Specify color,degree of c arily,presence of sheen or product phase) (Specify slight,moderate,or strong) <br /> 3 PURGE DATA: Purge Device: •S <br /> If pumped,specify: discharge rate (gpm) depth pump set at(ft.) <br /> Time Volume Purued TQmPotUr_e P-H 1 Q If well purges dry, specify the following: <br /> -7 1 n (start) (cumulative) (circle: F 1)time <br /> 1!t7 2) volume purged <br /> 1154 1 `7.o Z3.6 -7. 6 W60 3) depth to water <br /> MI EM EN f . •� _-- 2 3- S 7.6 7� � 4)depth to water for 80% recovery <br /> AM-1 FM 5) depth to water at time of sampling <br /> Total Vol. Purged (gals.) 3.J <br /> I <br /> 4 SAMPLING DATA.: leo. of Contain. Tyne of Containe B=uuted AaaLuis <br /> 18, "'X _` Time Collected 12.10 <br /> Collection Device •s ' le- <br /> Sample <br /> Sample ID 3?41- <br /> 5 <br /> 5 A C 3 9i. Duplicate (circle);Yes ME0> Sample ID <br /> Rinsate on sample collection device used on this well (circle): Yes 1 Sample ID <br /> 6 DECONTAMINADO�i Method(circle): d Pr re I Other <br /> .{Standard deconlantination procedure consists of washing gear with a solution of organic pure water and Siquinox and then double rinsing with organic pure water.If another method Is used,describe in the field notes section.) <br /> 7 ADDITIONAL FIELD NOTES: �9� G ��• f <br /> 0AForms\Field Formslgwmfflgwmff.xls <br />
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