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ARCHIVED REPORTS_XR0004432
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545347
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ARCHIVED REPORTS_XR0004432
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Last modified
2/6/2020 5:09:55 PM
Creation date
2/6/2020 3:39:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004432
RECORD_ID
PR0545347
PE
3528
FACILITY_ID
FA0003685
FACILITY_NAME
DBA CIRCLEK, REFUEL PETROLEUM INC.
STREET_NUMBER
419
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21938610
CURRENT_STATUS
02
SITE_LOCATION
419 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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• <br /> 0TEC [NOLOGIE •S - <br /> 186 Frank West Circle,suite r,Stockton CA 95206 GROUNDWATER MONITORING FIELD FORM <br /> WELL ID: <br /> PROJECT NO.- 71.1;I_ CONDOR PERSONNEL: 77 � <br /> AMBIENT CONDITIONS (Circle):Ca5r adverse (describe in notes section) DATE: 3.1 b <br /> 2 PRE-PURGE IATA: Pure Volume Protocol (#of casing volumes) 3 <br /> Well Cas, Depth (ft.} .4& (Circle: measured/ etaii Well Casing Diameter(in.) Z%% <br /> -Depth-to-Water / (subtract from well casing Depth) Measuring Point Location_ <br /> Water Column 3 7 Purge Vol. Calc. (for 1 casing vol.) -� S,7S � <br /> : <br /> (multipliers2 inch=.163, 4 Inch=.653, 5 inch=1 A2) <br /> Field Inspection Sam Appearance: „ I• OW1411-Jr• _ „MWD{ <br /> Odor: A v 07 tr <br /> (Specify calorlor,de�tartly,presence of sheer or product phase) <br /> (Speclfy alight,moderate,ars(rongi <br /> 3 PURGE DATA: Purge Device: D's <br /> If pumped, specify: disdharge rate (gpm) depth pump set at (ft.) <br /> Bm Volume Purged Tgmperature ad EQ If well purges dry, specify the following: <br /> 98 (start) (cumulat(ve) (circle.- F/(D 1) time <br /> 2)volume purged <br /> �s �.� 2�.� 6 •f 3) depth to water <br /> MS.7 Z�`7 t_ 7 4) depth to water far 8011/a recovery <br /> 5) depth to water at time of sampling <br /> —��lY- IPM <br /> Total Vol. Purged(gals.) —_--K-_7;r:: <br /> 4 SAMPLING DF,TA: No. of_Cantaj Type Qf Container gf4gested-Analysis <br /> j TO-Cti Time Collected ! Oct <br /> Trz Collection Device •f <br /> Sample ID <br /> 5 -_EB, Duplicate(circle):Yes k9l, Sample ID <br /> Rinsata on sample collecflon device used on this well (circle): Yes Q10D Sample ID <br /> 6 D-EGQNIAMI.NA710N_Methad (circle) tandard Pro ec dur 1 Other <br /> {Standard deeoni arninet{on procedure consists of washing gear with a solution of organic pure water and liqulnox and Shen double rinsing wish organic pure water.If another method is used,describe In the fiefd notes section.) <br /> 7 ADDITIONAL FIELD NOTES: <br /> I <br /> O.VorrnskField Farmslgwmfflgwmff.xls <br />
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