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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 /> CONDOREARTH TECHNOLOGIES <br /> 188 Frank West Circle,Suite 1,Stockton CA 95206 GROUNDWATER MONITORING FIELD FORM <br /> I S11E. [ WELL ID: <br /> PROJECT NO: 376[ �wJ <br /> CONDOR PERSONNEL: c <br /> AMBIENT CONDITIONS (Circle): ia)r adverse (describe in nates section) DATE: <br /> 2 PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes). . . 3 <br /> Well Cas. Depth (ft.) 17.50 (Circle: measured/(R) Well Casing Diameter(in.) <br /> - Depth-to-Water f?R-�j (subtract(torn well casing {depth) Measuring Point Location O <br /> =Water Column purge Vol. Calc. (for 1 casing vol.) - (multipliers: 2 inch=.183, 4 inch=.653, 5 Inch=1.02) <br /> Field Inspection Sam Appearance: Odor: <br /> (Specify color,degree of darliy,presence of sheen or product phase) (Specify alight,moderate,or strong) <br /> 3 PURGE DATA: Purge Device:_ �,•S Wil- <br /> If pumped, specify: disdharge rate (gpm) depth pump set at (ft.) <br /> V-01=0 Puraed Temperatura ph EG If well purges dry, specify the following: <br /> j�N}/PM (start) (curnv)ativa) (circle: F/a 1)time <br /> Ah11 PM T <br /> A1,41/PM 2)volume purged <br /> 3) depth to water <br /> - Aivi 1 PM 4) depth to water for 80%recovery <br /> I/EM 5) depth to water at time of sampling <br /> .�i�l._L EMd <br /> Total Vol. Purged(gals,) <br /> 4 SAMPLING DATA: Na. of Contac Tyne of Container ggqUastpd Analysis — - - <br /> u Time Collected <br /> Collection Device_ •/— <br /> Sample ID <br /> S QAQQ SAMPLES, Duplicate(circle):Yes k49 Sample ID <br /> Rinsate on sample collection device used on this well (circle): Yes(DO Sample 1D <br /> 6 DECQNTAMI ATLQN Method (circle) tandard Procedur /Other <br /> .(Standard deconi aminaCon procedure consists of washing gear with a solution of organic pure wager and fqutnax and then double rinsing with organic pure water.if anther method Is used,describe in the field holes section.) <br /> 7 ADDITIONAL FIELD NOTES: <br /> WFormsTield Forrnslgwmfflgwmff.xis <br />
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