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ARCHIVED REPORTS_XR0006754
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006754
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Entry Properties
Last modified
5/5/2020 10:36:39 AM
Creation date
5/5/2020 9:56:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006754
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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EHD - Public
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CONDOR EARTH TECHNOLOGIES <br /> 1125 N GOLDEN STATE BLVD ,T1URLOCK, CA GROUNDWATER MONITORING FIELD FORM <br /> 1. SITE C I)NI( �lr� V +��1 �I( �lk WELL ID. -L-A) -�> <br /> 'j <br /> PROJECT NO l Ji>` CONDOR PERSONNEL- <br /> -AMBIENT-CONDITIONS (Circle) 5atr 1 adverse (describe in notes section) DATE ) fl q L 1 <br /> 2 PRE-PURGE DATA Purge Volume Protocol (#of casing volumes) <br /> Well Cas Deptf►(il} F}r�i {Circle measured ! detail) Well Casing Diameter(in) - <br /> - <br /> Depth-to-Water_ `�(�:��(subtract from well casing depth) Measuring Point Location / rr) I rn <br /> Water Column Purge Vol Calc (for i casing vol ) + - 1 r S (multipliers 2 inch= 163,4 inch=653, 5 inch=i 02) <br /> Field Inspection Sample Appearance rr t . Odor + r r <br /> (SpecHy color degree of clarity presence of sheen or product phase) (Specify srtght moderate or strong) <br /> 3 PURGE DATA Purge Device <br /> If pumped,specify discharge rate (gpm) depth pump set at(ft} <br /> Time Vol Purged Temperature pH EC If well purges dry, specify the following <br /> (start) (cumulatae) (circle F /(c – �� 1) time <br /> ? `, - ter -� 2) volume purged <br /> { `r r, Ir I "J, 4 3) depth-to-water <br /> V, 4) depth-to-water for 80%recovery <br /> 5) depth-to-water at time of sampling <br /> Total Vol Purged (gals) ( 7 <br /> 4 SAMPLING DATA No of Contain Type of Container Requested Analysis <br /> ii y ,1 6 Time Collected <br /> —G-�-(�-��j <br /> Collection Device !�A <br /> Sample ID 170 /r U T <br /> 5 QA!QC SAMPLES, Duplicate (Circle) Yes 1 0IA Sample ID <br /> Rinsale on sample collection device used on this well (Circle) Yes I �J�o Sample ID <br /> 6 DECONTAMINATION. Method (Circle) Standard Procedure 1 Other <br /> (Standard decontamination procedure consists of washing gear with a solution of organic pure vealer and Mulnox and then double ilnsing with organic pure water it another method is used,describe In the field notes section j <br /> 7 ADDITIONAL FIELD NOTES <br /> f 1formslgwmnff wb 1 (8195) <br />
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