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ARCHIVED REPORTS_XR0004602
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545482
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ARCHIVED REPORTS_XR0004602
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Entry Properties
Last modified
3/10/2020 12:45:55 PM
Creation date
3/10/2020 8:55:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004602
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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/ p�irk <br /> Corporation ' <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name l <br /> Job# I <br /> Date :5f 442 <br /> Sampling Tem LW. ' <br /> (Names/Responsibilities) <br /> Purpose of Sampling Indiaf Quarter) Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth Water Factor <br /> Initial Gallons <br /> R l t <br /> After devefo / ur in 45 <br /> At time of Sampling Three Casing Volumes -5D Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING t <br /> Equipment Swab-Aire Sub Pu er Jandpiper Other <br /> Method Description <br /> Decontamination Method <br /> Water Contain n rum r tank <br /> Labeled other <br /> I <br /> Pum Vol Water Temp EC <br /> Trme Rate Observations <br /> E �� FSC umhos H color,turbid ods odor <br /> Start l4 I Z <br /> 14i '3 <br /> 142r 0 <br /> o <br /> Lab <br /> SAMPLE INFORMATION <br /> Sampling Containers/Number of Containers/Anal lysis <br /> 1 Liter Arnber Y Preservation Description <br /> 40 ml Voa ice and <br /> Other `� Ice and <br /> Ice and <br /> Time <br /> DeviceDisp loo e$ b sailer Other <br /> Pertinent Field Observations • <br /> Deviations from Standard Sampling Protocol , <br />
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