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ARCHIVED REPORTS_XR0006692
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006692
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Entry Properties
Last modified
5/5/2020 10:29:25 AM
Creation date
5/5/2020 9:33:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006692
RECORD_ID
PR0543479
PE
2960
FACILITY_ID
FA0024679
FACILITY_NAME
CANEPA'S CAR WASH
STREET_NUMBER
6230
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
081360030
CURRENT_STATUS
01
SITE_LOCATION
6230 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
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LSauers
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EHD - Public
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CONDOS MH T C O • • <br /> ,��_. LOGES <br /> 188 Frank West Circle,Suite 1,Stockton CA 86206 GROUNDWATER MONITORING FIELD FORM <br /> I SITE: �. 7 <br /> Ci f'r[ - WELL ID: — 7 <br /> PRO.Ii=CT CONDOR PE.RS014NEL. <br /> AMBIENT CONDITIONS (Circle) fair adverse (describe in notes section) DATE: 3 02- <br /> 2 <br /> Z2 IRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) <br /> Welf Cas. Depth ft. g_(Circfe:Alli�detail) Well Casing Diameter(in.) <br /> Depth-to-Water X40 (subtract from well casing Depth) Measuring Po-91Location <br /> =Water Column_ 3�__Purge Vol. Calc. (for 1 casing vol.) <br /> (multipllers:2 inch=.1133, 4 inch=.853, 5 inch=1.02) <br /> Field Inspection Sam Appearance: &ar.Ap�r n o,,, <br /> Odor. 1104 e <br /> (Specify color,dogrel of clarity,presence of sheen or product phew) (Specify slight,moderate,or strong) <br /> 3 PURGE DATA: Purge Device: C • o <br /> If pumped, specify: discharge rate (gpm) depth pump set at (ft.) <br /> i <br /> OS [ €� If well purges dry, specify the following: <br /> Vill% <br /> (start) (cuinulative) {circle: F1}time <br /> U. —ZQ( 7 1 US 2) volume purged <br /> l0 7. 7� 3) depth to water <br /> z Z"6 7T J 4) depth to wafer for 8b°/a recovery <br /> very <br /> AM.lPM ----- <br /> 5) depth to water at time of sampling <br /> Total Vol. Purged(gals.) S <br /> 4 SAMPLING DATA; �o Sf__Cofits3ltl Tvne <br /> U0/9 AnIT��g-s�trred&Anajy <br /> — _ Time Collected <br /> Collection Device p Vo" *'5_V4sT <br /> P " <br /> —C-7-- Sample ID Jzo 7- •�I W� �/j,DL <br /> 5 A C S Duplicate (circle): Yes/0 Sample fD <br /> Rinsate on sample collection device used on this well (circle); Yes t o Sample ID <br /> 8 02CONIA1Y1lNATtON Method (circle andard Procedur I Other <br /> .{Standard decontamination procedure conslals of washing gear with a solution of organic pure water and liqulnox and then double rinsing with organic pure water,if another mathed Is used,describe in the field notes section,} <br /> 7 ADDITIONAL FIELD NOTES: <br /> 01-1FormslField FormslgwnifRgwirrff.xls <br />
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