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ARCHIVED REPORTS_XR0006753
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006753
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Entry Properties
Last modified
5/5/2020 10:37:37 AM
Creation date
5/5/2020 9:55:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006753
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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CONDOR EARTH TECHNOLOGIES <br /> 1125 N GOLDEN STATE'ILVD , TURLOCK, CA GROUNDWATER MONITORING FIELD FORM <br /> t <br /> 1 SITE 0'8)ot? A6 V WELL ID: � fy <br /> PROJECT NO (- () CONDOR PERSONNEL <br /> AMBIENT CONDITIONS CircleXi 1 adverse describe in notes section DATE, 1647,2- <br /> 2 <br /> a z22 PRE-PURGE DATA Purge Volume Protocol(#of casing volumes) 2- <br /> Well <br /> Well Gas Depth(ft) M 0 (Circle measure 1 detail) Well Casing Diameter(in) / �- <br /> - Depth-to-Water �I JZ, -- (subtract from well casing depth) Measuring Point Location Teti' <br /> 2" V ar as 1 < — - <br /> - Water Column _ ). �1 Purge of Calc (t 1 c ing vol } =__�S __ (multipliers 2 inch— 163,4 Inch—653, 5 inch=1 02) <br /> Field Inspection Sam-)Ie Appearance r f"ljf tic 5 t'''rOdor 511 n/_1'- _ <br /> (SWify color degree of clarity presence of sheen or product phase) (Specify%tight,moderate or strong) <br /> 3 PURGE DATA- Purge Device cP41 —00 _ <br /> If pumped,specify discharge rate(gpm) depth pump set at(ft) S <br /> Time Vol Purged Temperature pH E C if well purges dry, specify the following <br /> f( I (start) (cumutatke) (circle F 1 ) _ 1) time <br /> 2} volume purged <br /> 3) depth-to-water <br /> 10(y 4) depth-to-water for 80%recovery <br /> 5) depth-to-water at time of sampling <br /> Total Vol Purged(gals) <br /> 4 SAMPLING DATA- No of Contain Type of Container Reguested Anal is <br /> Time Collected to �I V <br /> Collection Device /'e-1•r'!'� <br /> Sample ID 1�,' 2 - /c <br /> 5 QA 1 QC SAMPLES Duplicate (Circle) Yes 1 Koh Sample ID <br /> Rinsate on sample collection device used on this well(Circle) Yes 1 Ilio Sample 1D <br /> 6 DECONTAMINATION- Method(Circle)`-zStandard Procedures! Other T ^ <br /> (Standard decontamination procedure consists of washing gear with a solution of organic pure water and tiquinox and then double rinsing with organic pure water H another method Is used describe in the Wd notes section) <br /> 7. ADDITIONAL FIELD NOTES <br /> I <br /> f lformMgwmnff wbt (8195) <br /> I <br />
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