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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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i,-0 DO 1, EARTH T C N GES <br /> i <br /> 188 Frank West circle,suite 1,Stockton CA 95206 GROUNDWATER MONITORING FIELD FORM <br /> 1 511Er:�o�� � _ >- <br /> WELL <br /> PROJECT NO: 376r CONDOR PERSONNEL: t <br /> AMBIENT CONDITIONS (Circle): fair adverse {describe in nates section) DATE,_3/.-,L,/ 0 <br /> 2 PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) <br /> Well Cas. Depth (ft,)f j�__7$ (Circle: measured/Eat ail} Well Casing Diameter(in.) z�� <br /> Depth-to-Water 1-2•QZ{subtract from well casing depth) Measuring Point Location 1.ro L <br /> Water Colurnn 1. l b Purge Vol. Calc. (for 1 casing vol.) _ 3. <br /> (multipliers: 2 inch=.963, 4 Inch=.653, 5 inch=1.02) <br /> Field Inspection Sam Appearance:-. Cleve 1 _ �d- goer Odor: /loth { <br /> dag <br /> (SPOOy color, rea of clarity,presence of sheen or product phase) (Specify slight,moderate,or strong) <br /> 3 PURGE DATA: Purge Device: D.15 N4 • <br /> Ir- <br /> if pumped, specify: discharge rate (gpm) depth pump set at(ft,) <br /> nim Volume Puraed Tem eratu <br /> !O LPT+Q {startp � � � If well purges dry,specify the following: <br /> (curnulative) (circle: F 1a 1) time <br /> j•a ?— — � S 2)volume purged <br /> o ` . 2,a` <br /> 3)depth to water <br /> 1045 IPM co 27— — �— <br /> �M/PM 3� �� r 4) depth to water for 80% recouery <br /> __ 1P1 5) depth to water at time of sampling <br /> Total Vol. Purged (gals.) <br /> 4 SAMPLING DATA: No. uLQn lain. ZYpe of Corti�ine.r <br /> Time Collected (O,$t) <br /> Collection Device •f <br /> SampleQALQ <br /> 5C M' Duplicate (circle): Yes'q Sample ID <br /> Rinsate on sample collection device used on this well(circle): Yes No Sample ID <br /> 6 D _NIAM !Ui0_N Method (circle) tandard Pracedur /Other <br /> .(Standard dec°nte�njinatlon procedure consuls of washing gear with a sorution of organic pure water and liquinox and then double rinsing with organic puts water.If another method Is used,describe In the field notes section.) <br /> 7 ADDITIONAL FIELD NOTES, � � �f D � ... <br /> A o r <br /> 0:1FormslFieid Formslgwmfflgwmff.xls <br />
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