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Environmental Health - Public
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EHD Program Facility Records by Street Name
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31400
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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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E C I, I, { I, [ [ I, 1 �a <br /> • <br /> CONDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> 1. SITE:_ 10�� ru,A(ew Se ivil WELL ID: Uw <br /> PROJECT N0: S t^7) CONDOR PERSONNEL: ' <br /> AMBIENT CONDITIONS Circle : !L adverse describe in notes section DATE: IZ Z4 f <br /> 2. PRE-PURGE DATA: Purgeolume Protocol(#of casing volumes) <br /> Well Cas. Depth ft) 2�ZS (Circle: measured 1 detail) Well Casing Diameter(in,) 2 <br /> - Depth-to-Water (LA (subtract from well casing depth) Measuring Point Location 414/-/ <br /> = Water Column ItAA Purge Vol. Calc. (for 1 casing vol.) t j = Z 3 (multipliers: 2 inch=,163,4 inch=,653, 5 inch=1.02) <br /> Field Inspection Sample: Appearance: C �i pt Jr) S It FCO Odor: A)M-e <br /> (Specify color,degree of clarity,presence of sheen or product phase) (Specty eight, oderate or strong) <br /> 3. PURGE DATA: Purge Device: 6A AW - _ - <br /> if pumped, specify: discharge rate (gpm) depth pump set at(ft.) <br /> Time Vol, Purged TemperaturePHPH EC. If well purges dry,specify the following, <br /> (start) (cumulative) (circle: F �/i:)/ —� �! 1) time <br /> — —`J I i p16 Q 2) volume purged <br /> 7j—Zrel z �1�Z 3) depth-to-water <br /> r4 �_ 15 4) depth-to-water for 80%recovery <br /> 5) depth-to-water at time of sampling <br /> Total Vol. Purged (gals,) <br /> a. SAMPLING DATA: No. of Contain Type of Container Requested Analysis <br /> �CA �.� A rc*�, r P PL 4&V Time Collected <br /> Collection Device tor' C, <br /> Sample ID <br /> 5. QA 1 QC SAMPLES: Duplicate (Circle): Yes I Sample ID <br /> Rinsate on sample device used on this well (Circle): Yes / • Sample ID <br /> 6. DECONTAMINATION Method (Circle t�Procedur / Other <br /> (Standard decontamination rocedure conslsts of washtn gearwah asotutlII uinox and then doubre rincng with organic pure water. If another method Is used,describe In the field notes section,) <br /> T. ADDITIONAL FIELD NOTES: <br /> faformMgwmnff,wb1 (8195) <br />
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