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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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r t t t t t t t r t t t t t r t t t t <br /> CONDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> l / <br /> 1. SITE: ��,c)Jfi'uCir46j* �.XLdj WELL ID: <br /> PROJECT NO: Sly(, CONDOR PERSONNEL: f�/� <br /> AMBIENT CONDITIONSCircle ; air 1 adverse describe in notes section PATE: <br /> 2. PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) / <br /> Well Cas. Depth (ft.) ZZ,,1 (Circle: measured / detail) Well Casing Diameter(in.) % L <br /> - Depth-to-Water 7 (subtract from well casing depth) / Measuring Point Location__ ?f.�t <br /> = Water Column I Itz Purge Vol. Cala. (for 1�casing vol.) I {D = z13 (multipliers:2 inch=,163, 4 inch=.653, 5 inch=1.02) <br /> Field Inspection Samole: AppearanceOdor: /)XnV J C <br /> (specNy <br /> or,degree of clarity,presence of sheen or product phase) (Specify sllght,moderate of(tong) <br /> 3. PURGE DATA: Purge Device:, �����f`" <br /> If pumped, specify: discharge rate (gpm) depth pump set at(ft.) <br /> Time Vol, Pureed T m eratu a pH E_C. If well purges dry,specify the following: <br /> 13f)( (start) (c�m�l�e-a (c3rc�e: c 7 1) time <br /> Iq 2) volume purged <br /> � 4z 3) depth-to-water <br /> 1316 �,/l q) 4) depth-to-water for 80% recovery <br /> 5) depth-to-water at time of sampling <br /> Total Vol, Purged(gals.) 7 <br /> 4. SAMPLING DATA: No, of Contaln Type of Container Requested Analysis <br /> 2 Gro 7 ' � `�` art R�2E0 Time Collected <br /> Collection Device <br /> Sample ID Z 5a1—Alio Z— i/zy/0� <br /> 5. QA/QC SAMPLES: Duplicate (Circle): Yes / o Sample ID <br /> Rinsate on sample collection device used on this well(Circle): Yes / Sample ID <br /> 6. DECONTAMINATION: Method(Circle); andard Procedu_r_e / Other <br /> (Standard decontamination pocedure consists Of=gear with a soiutlon 7"and II ulnox end then double rinsing with or snlc pure water, If another method Is used,describe In the fleld notes section. <br /> 7. ADDITIONAL_FIELD NOTES: <br /> f:lformslgwmnff.wbt (8/95) <br />
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