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ARCHIVED REPORTS_XR0004603
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_XR0004603
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Entry Properties
Last modified
3/10/2020 12:06:04 PM
Creation date
3/10/2020 8:55:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004603
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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n <br /> The <br /> P rk <br /> Corporation <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> ' Protect Name DMkQ–) . bA,hJZ <br /> Job# <br /> ' Date � <br /> Sam fin Team <br /> ' (Names/Responsibilities) <br /> Purpose of Sampling Initial �edVerfication Other <br /> Weather Conditions <br /> ' GROUNDWATER LEVEUCASING VOLUME <br /> ' <br /> Depth Total Feet of Conversion casing Volume <br /> Time TOC to GW <br /> Initial De h Water Factor Gallons <br /> f <br /> After develo / ur in <br /> ' At time of Sameling Three Casing Volumes Gals <br /> Ten Casing Volumes Gals <br /> ' WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aireub PumA Bailer Sandpiper Other <br /> Method Description <br /> decontamination Method <br /> Ater Containment rums baker tank other <br /> Labeled <br /> Pump Vol Water Temp EC Observations <br /> Time Rate Extracted FIC wy' <br /> Start H color turbidityoils odor er � I <br /> y f <br /> / <br /> ,r� •� / yt <br /> 1 <br /> 1 <br /> Lab <br /> SAMPLE INFORMATION <br /> �I< �Q,eON <br /> ' Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> ' 40 ml Voa -T-'1>tj and <br /> Other —`-`' —""' <br /> Ice and <br /> ' Time <br /> Device Disposable Bailer ✓ Other <br /> ertinent Field Observations <br /> ' eviations from Standard Sampling Protocol <br /> 1 <br />
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