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Environmental Health - Public
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3500 - Local Oversight Program
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PR0545345
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Last modified
2/11/2020 6:21:35 PM
Creation date
2/11/2020 4:38:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545345
PE
3528
FACILITY_ID
FA0002994
FACILITY_NAME
NEW JERUSALEM SCHOOL
STREET_NUMBER
31400
Direction
S
STREET_NAME
KOSTER
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
25527012
CURRENT_STATUS
02
SITE_LOCATION
31400 S KOSTER RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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t t C [ [ [ t t [ [ C [ [ [ [ [ t t t <br /> CONDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> 1. SITE:11/�^; fJ,�(C,1 t sem, WELL ID: 1w&,1 <br /> PROJECT NO: CONDOR PERSON N L: 7� <br /> 1 _. �! <br /> AMBIENT CONDITIONS Circle): fair 1 adverse (describe in notes section► DATE: � <br /> 2. PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) <br /> Well Cas. Depth(ft.) 0-(Circle: measured / detail) Well Casing Diameter(in,) <br /> - Depth-to-Water SI, 73 (subtract from well casing depth) Measuring Point Location <br /> = Water Column/4/. o`7 Purge Vol. Calc. (for 1 casing vo).)_ Z 3 X 3 (multipliers: 2 inch=.163,4 inch=.653, 5 inch=1.02) <br /> Field Inspection Samale: Appearance: c z,-4x Odor: Al,::- ogV,off <br /> (Spec Ry color,degree of c arlty,presence of sheen or product phase) (Specify slight,moderate or strong) <br /> 3. PURGE DATA: Purge Device: pff�/�c'�z <br /> If pumped,specify: discharge rate (gpm) depth pump set at(ft.) <br /> Time Vol. Puraed Temperature pH E.C. If well purges dry, specify the following: <br /> x, 57 (start) (Cumulative) (circle: F 14 1) time <br /> -7 : 3S S _Z 7.34 2) volume purged <br /> -, 3'-Z 970 3) depth-to-water <br /> ? S _7 -, 3 -S /c-cPe 4) depth-to-water for 80% recovery <br /> 5) depth-to-water at time of sampling <br /> Total Vol. Purged(gals.) <br /> 4. SAMPLING DATA: No, of Contain Type of Container Requested Analysis �r T <br /> L/o r ,t. /,��;►. ;p// �. gll� Time Collected <br /> Collection Device e/4!4 �52 <br /> Sample ID Sem2_ v1 <br /> b. QA!QC SAMPLES: Duplicate (Circle): Yes ! o Sample ID <br /> Rinsate on sample collection device used on this well (Circle): Yes /(1�)o Sample ID <br /> 6. DECONTAMINATION: Method (Circle): Standard Procedure / Other <br /> (standard decontamination procedure consists of washing gear with a solution of oroanlc pure water and Ilqulnox and then double rinsfng with organic pun water. If another method Is used,deecrlbe In the fleld notes sectlom) <br /> � <br /> 7. ADDITIONAL FIELD NOTES: SUr✓N i< Gr/,���-`/ <br /> f:lformslgwmnff.wbl (8195) <br />
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