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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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0 <br /> CO NDOR.EARTH TECHNOLOGIES - <br /> 188 Frank West Circle,suite 1,Stockton CA 95206 GROUNDWATER MONITORING FIELD FORM <br /> I SITE. &Aakf <br /> WELL 1D: ,Affi/ <br /> PROJECT NO: 3761 CONDOR PERSONNEL: <br /> AMBIENT CONDITIONS(Circle): fair adverse (describe in notes section) DATE: kl p <br /> 2 PRE-PURGE DATA, Purge Volume Protocol (#of casing volumes) 3 <br /> Well Cas. Depth (R.) 3 (Circle: measured I detail `` <br /> Well Casing Diameter(in.) 2 <br /> - Depth-to-Water 0.1 If (subtract from well casing Depth) Measuring Point Location -KOC_ <br /> Water Column 3_. _Purge Vol. Calc. {for 1 casing vol.) y'•Q G - S (multipliers: 2 inch=.163 4�' T inch= <br /> 1.02) <br /> Inch=.653, 5 inch-1.02) <br /> Field Inspection Sam Appearance: t10=Cjo Odor: .wAr <br /> (Specify colf,degree of clarify,presence of sheen or product phase) (Specify slight,moderate,or strong) <br /> 3 PURGE DATA: Purge Device_D,'S Ni• +r/� <br /> If pumped, specify: discharge rate (gpm) depth pump set at(ft.) <br /> Time YC011ime Purged T-ern perature EC If well purges dry, specify the following: <br /> Mi (start) (cumulative) (circle: Fla 1)time <br /> 3'a - 23-S 7•L- ��f 2) volume purged <br /> - 3' 7 S 3) depth to water <br /> •�� X3. 1 <br /> - 4)depth to water for 80% recovery <br /> �• 13• 7: 6 7- 7��� g) depth to water at time of sampling <br /> Total Vol. Purged (gals.) 15-D <br /> 4 SAMPLING DATA: No of :;ontain- <br /> . 71PA-67 Time Collected Q9!IS <br /> SX _ Collection Devlce •��� <br /> Sample ID 7 <br /> 5 QAtQC SA MP LES: Duplicate(circle):Yes,7� Sample ID <br /> Rinsate on sample collection device used on this well (circle): Yes No Sample ID <br /> 6 QECONTAMINilATiON,Method (circle) tandard Procedur 1 Other <br /> (Standard decontamination procedure consists of washing gear with a solution or organic pure water and liquinox and then double rinsing with organic pure water.If another method Is used,describe In the field notes section <br /> 7 ADDITIONAL =IELD NOTES: ' -eH adefa a dr.r.T' `^Z <br /> 0:1Forms\Field Formslgwmfflgwmff.xls <br />
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