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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 t t r I t t t t t t I I r r t t t <br /> CONDO_ _R EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> 1. SITE: 4 . '�.�-�'�,�,. ;,y/ WELL ID: <br /> PROJECT NO: CONDOR PE SO NEL: if <br /> AMBIENT CONDITIONS(Circle): fair ! adverse (describe in notes section) DATE: '- 1 <br /> -- <br /> INS <br /> 2. PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) <br /> Well Cas. Depth(ft.) (Circle: measured / detail) Well Casing Diameter(in.) ! <br /> - Depth-to-Water (subtract from well casing depth) Measuring Point Location i <br /> = Water Column Purge Vol. Calc, (for 1 casing vol.) — (multipliers: 2 inch=.163, 4 inch=.653, 5 inch=1.02) <br /> Field Ins2ection Sample: Appearance: Odor: <br /> (Speclry color,degree of clarity,presence of sheen or product phase) (Specify slight,moderate or strong) <br /> 3. PURGE DATA: Purge Device: <br /> If pumped, specify: discharge rate (gpm) depth pump set at(ft.) <br /> Time Vol. Purged Temperature e—H, E.C., If well purges dry,specify the following: <br /> _(start) (cumulaws) (elrcle: F / C) 1) time <br /> 2) volume purged <br /> 3) depth-to-water <br /> 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 Reguested Analvsls <br /> f�DyL 6 c,q.S.S Time Collected <br /> Collection Device <br /> Sample ID �,•~ mow— .3 3a y <br /> 5. QA!QC SAMPLES: Duplicate(C'ircle): Yes / No Sample ID <br /> Rinsate on sample collection device used on this well (Circle): Yes / No Sample ID <br /> 6, DECONTAMINATION: Method (Circle), Standard Procedure 1 Other <br /> (Standard decontamination procedure consists of washing pear with a solution of organic pure water and II ulnox and then double rinsing with or ankc pure water, If another method Is used,describe In the field notes section. <br /> 7. ADDITIONAL FIELD NOTES: Sc' c << , v'r'� / r c r f <br /> f:lformslgwmnff.wb1 (8195) <br />
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