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ARCHIVED REPORTS_XR0004601
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545482
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ARCHIVED REPORTS_XR0004601
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Entry Properties
Last modified
3/10/2020 11:57:46 AM
Creation date
3/10/2020 8:54:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004601
RECORD_ID
PR0545482
PE
3528
FACILITY_ID
FA0005075
FACILITY_NAME
DONS MOBILE GLASS
STREET_NUMBER
151
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
953365719
APN
21941015
CURRENT_STATUS
02
SITE_LOCATION
151 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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• / The <br /> 1 ' <br /> / Pka <br /> Corporation <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> 1 _ <br /> Project NamL7- "V <br /> 'Job# Z I �._ ►til�„L � , i <br /> Date <br /> Sam lin T am <br /> (Names/Responsibilities <br /> Purpose of Sampling Initial <br /> (Quarterly (�Verri fion other <br /> Weather Conditions <br /> tGROUNDWATER LEVEUCASING VOLUME <br /> De th Total Feet of Conversion Casing;Volume <br /> ' Time TOC to GW Depth Water Factor Gallons <br /> Initial <br /> After develo 1 ur in Q 2 2 �� <br /> At time of sam lin Three Casing Volumes Z� Gals <br /> ' Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> 1 Equipment: Swab-Aire Subs Bailer Sandpiper -Other: <br /> Method Description: �' ��i <br /> Wontamination Method: <br /> ter Containment: drums baker tank other: <br /> Labeled: <br /> Pum Vol.Water Telo. EC <br /> Observations <br /> Time Rate Extracted F!C umhos ii color,turbidi ,oils,odor <br /> Start <br /> ' 2 Z <br /> � I <br /> Lab: <br /> SAMPLE INFORMATION <br /> � . <br /> ' Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> ' 40 ml Voa Ice and <br /> Other 4'�'' --•— <br /> Ice and <br /> Time: <br /> Device: Disposable Bailer✓ Other: <br /> ' Pertinent Field Observations: <br /> !vVi:at;ionjs from Standard Sampling Protocol: <br />
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