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ARCHIVED REPORTS_XR0004603
EnvironmentalHealth
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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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A <br /> PA�k <br /> Corporation <br /> ' WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br />' Project Nam PQj�Z ��J�J <br /> .lob# p <br />' Date <br /> Sampling Team iL( n <br /> ' (Names/Responsibilities) <br /> Purpose of Sampling InitialQuarterly Vertication Other <br /> Weather Conditions <br /> ' GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial • f -7 . 'i 5 I <br /> _ w <br /> After deveio 1 ur in <br /> ' At time of SamplingThree Casing Volumes a Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pum Bailer Sandpiper Other <br /> Method Description <br /> lWecontamination Method ca <br /> ater Containment rums baker tank other <br /> Labeled <br /> Pum Vol Water Temp EC Observations <br /> Time Rate Extracted FIC (umhos) PH color turbidity oils odor <br /> ' Start <br /> c r <br /> jt t <br /> •• ,1 f • r <br /> 1 <br /> 1 • <br /> tLabQZ1ZA- SAMPLE INFORMATION <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> ' 40ml Voa <br /> Other Ice and <br /> ' <br /> Time � <br /> Device Disposable Bailer Other <br /> Vevi'a <br /> Field Observations <br /> s from Standard Sampling Protocol 0 2-� L <br />
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