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ARCHIVED REPORTS_XR0004456
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3500 - Local Oversight Program
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PR0545347
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ARCHIVED REPORTS_XR0004456
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Entry Properties
Last modified
2/6/2020 4:55:14 PM
Creation date
2/6/2020 3:55:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004456
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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Field Log / Groundwater Sampling Form Date <br /> Client Well Name �0-I <br /> Project Name Well Type:�6 Monitor LI Extraction Ll Other <br /> N,..,onsultant <br /> Proj. Manager Richard Chzun Sampler <br /> Puxga Method Puz9a voluma <br /> Bailer-Type Multiplier 1 Casing Diameter Well Volume Purged <br /> Pump-Type 2 - inch 3 volumes <br /> Other Well Casing 4 - inch 4 volumes <br /> I.D. (in.) Gal/Ft. other other <br /> Total Well Depth 2.0 0.1632 <br /> Depth to—Water 4.0 0.6527 Actual Values <br /> 6.o 1.4686 <br /> Water Column Leno Purge Time Nol. I <br /> X <br /> X X No. Volumes <br /> Water column length Multiplier No. Volumes CALCULATED. Purge Vol. <br /> Total Purge Time L-6- <br /> X <br /> Purge Vol �;�rg-eR&e TOTAL PURGE TIME Purge Rate <br /> L / 2�' = rD <br /> Total Purge Time # Volumes PURGE TIME/VOL. Actual Purge Vol. LL <br /> ........... ............ <br /> ........ . ...... ..�ffi:wx� <br /> I K1 <br /> Time Gallons PH Conductivity Tiew. Turbidity color Odor <br /> pnhos/crn deg C �3 deg F M'TJ <br /> Vol 1 r�15c� <br /> Vol 2 <br /> aw Vol 3 <br /> a- Meter Type IQ Scientific r Water Stoz-age Disposal <br /> Drummed onsite <br /> Onsite Treatment System <br /> Pug Other <br /> Ga+ENTS/purge: <br /> Si3ontliA. Method <br /> FBailer-Type <br /> r <br /> Pump-Type <br /> Other <br /> Time Sample ID Org Dup Split Blank Container Type Number of Preservative <br /> Containers <br /> 4degrees C <br /> QL <br /> '--'Caq4=S/sampling: <br /> 1405 Kansas Ave. GeoAnalytical Laboratories, Inc. Phone: (209)572-0900 <br /> Modesto, CA 95351 Cart# 1157 Fax: : (209)572-0916 <br />
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