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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 c c c c c t c c c c r r c I r t c r <br /> CONDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> 1. SITE: <br /> PROJECT NO: CONDOR PERSONNEL: <br /> AMBIENT CONDITION5 Circle : f 1 adverse describe in notes section DATE: I z. <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 <br /> = Water Column Purge Vol. Calc. (for 1 casing vol.) - (multipliers: 2 inch=,163,4 inch=,653, 5 inch=1.02) <br /> Field Inspection Sample: Appearance: Odor: <br /> (Specify color,degree of clarity,presence of sheen or product phase) (SpecHy slight,moderate or Wong) <br /> 3. PURL : DATA: Purge Device: <br /> If pumped, specify: discharge rate (gpm) depth pump set at(ft.) <br /> .Time Vol Purged Temperature vHH E.C. If well purges dry, specify the following: <br /> (start) (cumulative) (circle: 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 Tvpe of Container Requested Analysis <br /> -UO-A 1-Ptl-_Kz 9` Time Collected 11 Sy <br /> Collection Device SL mate t"Plve Al k4J <br /> Sample ID 2!50(D W - 17- q1f <br /> 5. QA!QC SAMPLES: Duplicate (Circle): Yes / No Sample lD <br /> Rinsate on sample collection device used on this well (Circle): Yes / No Sample ID <br /> 6. DECONTAMINATION: Method(Circle): Standard Procedure / Other <br /> Standard decontaminallon rocedura consists of washing gear wnh a solution of or amlc Pure water and Ilqulnoz and than double rinsing with organ Ic Eurs water. If another method Is used,describe In She fleld notes sectlon.) <br /> 7. ADDITIONAL FIgLQNOTES: D F /fir) 7fsr- 1"C AtX <br /> l isc <br /> f:lformslgwmnff,wb1 (8/95) <br />
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