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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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CONDOR E T EC G 5 <br /> 188 Frank West Circia,suite 1,Stockton CA 85206 GROUNDWATER MONITORING FIELD FORM <br /> 1 SITE: =-{� WELL ID: IfW- 7 <br /> PROJECT NO. �3761 CONDOR PERSONNEL: t <br /> AMBIENT COI+IDITIONS (Circle): fart adverse (describe in notes section) DATE: kl <br /> 2 PRE-PURGE [IATA: Purge Volume Protocol (#of casing volumes)_ 3 <br /> Well Cas. Depth (ft.) 210 (Circle. measured 1 dataii! <br /> Well Casing Diameter(in.) 2 <br /> -Depth-to-Wager l_ (subtract from well casing Depth) Measuring P t Location <br /> = Water Column �•�Z _purge Vol. Caic. (for 1 casing vol.) .Z 2- - <br /> Field Inspection Sam Appearance: I� _I + ae� ^o� t. -.� (multipliers:2 inch=.183,4 Inch-.853, 5 inch-1.02) <br /> �1r. � <br /> r <br /> (5pac1fy color,degree of clarity,presence of sheen or product phase) Odor: nc�Pl <br /> (Specify slight,moderate,or strong) <br /> 3 PURGE DATA: Purge Device: � s ' <br /> If pumped, specify: discharge rate(gpm) depth pump set at(ft.) <br /> lu a Purged ImBeratuLrx <br /> ItD t 6 .L_.P�d (start � � If well purges dry, specify the following: <br /> I )� ) (cumulative) (Circle, F lQ 1)time <br /> l l+� �'�- .►O ,SSZ••S 2)volume purged <br /> PM <br /> :1 PMZ�-$ _ t`7 1 StiS.rt 3) depth to water <br /> faL L M 2_ <br /> 4) depth to water for 80°/a recovery <br /> 5) depth to water at time of sampling <br /> Total Vol. Purged (gals.) 1, <br /> 4 SAMPLING DATA: No. oof Contain. TX ,��onlaine� <br /> R�t�ested Analvsi� , <br /> Time Collected o2 - <br /> Collection Device f <br /> Sample <br /> 5 �AIOC SAMPI Duplicate(circle): Yes kq Sample ID <br /> Rinsate on sample collection device used on this well (circle): Yes No Sampie ID <br /> B PECQUTAMMiTION Method(circle) tandard I'racedur 1 Other <br /> (Standard dacantaimatlon procedure consists of washing gear with a soiulfon of orosrue pure water and liquinox and{hair double rinsing with organic pure water.If artolhe!method Is used,describe In the Wd rioles section.) <br /> 7 ADDITIONAL FIELD NOTES: ✓ H Q p.,,,.� o o� �'� <br /> t <br /> OAFormslField Formslgwmff'gwmff.xls <br />
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