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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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Entry Properties
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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CONDO LfAf3TH TECHNOLOGIES <br /> 188 Frank West circle,suite 1,Stockton CA 95206 GROUNDWATER MONITORING FIELD FORM <br /> 1 SITE:—Ba' c WELI.ID: <br /> PROJECT NO: 3761 CONDOR PERSONNEL: c <br /> ;] <br /> AMBIENT CONDITIONS (Circle): fair adverse (describe in notes section) DATE: <br /> 2 PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) 3 <br /> Well Cas. Depth (Q.)J."(6 (Circle: measured ldetail Well Casing Diameter(in.) XN" <br /> - Depth-to-Water 17.B'� (subtract from well casing Depth) Measuring Point Location O <br /> = Water Column Purge V01. Calc. (for 1 casing vel.) .,16 = C:�' (multipliers: 2inch=.163,4 inch=.E53, 5 inch=1.02) <br /> Field Inspection Sam Appearance: c 92—Cl r,.v Odor: <br /> (Specify color,deg a of clarlly,presence of sheen or product phase) (Specify at moderate,or strong) <br /> 3 PURGE DATA: Purge Device: <br /> If pumped, specify: discharge rate (gpm) depth pump set at (ft.) <br /> e Volum�Puraed lemperatm PE EC If well purges dry,specify the following: <br /> II 2.6 (start) (cumuiativa) (circle: F/Q 1)time <br /> Lill <br /> ( 7.a Z j 'aS 2) volume purged <br /> 113 6i,S 3)depth to water <br /> �"4•'s `l 4) depth to water for 80%recovery <br /> LLPM <br /> 5) depth to water at time of sampling <br /> Total Vol. Purged (gals.) �.o <br /> 4 SAMPLING DATA: Na. of C°rataln- �Qf Container $gquesled AaaLWa <br /> — -C ITP��-C Time Collected 613-S <br /> Collection Device 'f <br /> Sample ID 7 1- f Lt/Z <br /> 5 9AJ9S-3AMI?1X.,9i Duplicate(circle):Yes l9 Sample ID <br /> Rinsate on sample collection device used on this well (circle): Yes Q90 Sample ID <br /> 6 V-EGD TAMiNATION Methad (circle) tandard Pracedur /Other <br /> .(Standard deconlandnatfon procedure consists of washing gear with a solution or organic pure water and liquinox and then double rinsing with orgaft pure water.tf another mashed is used,describe in the field notes section-) <br /> 7 ADDITIONAL FIELD NOTES: .rr H10 9,0 yarn eor cLe:'F•, if <br /> OVormslFielff Formslgwmfflgwrmff.xts <br />
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