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Environmental Health - Public
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EHD Program Facility Records by Street Name
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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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[ C [ [ [ [ t [ [ ( t [ [ t [ C [ C t <br /> CONDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> 1. SITE: IljrAg4� 'a 6 � � WELL ID: {� <br /> PROJECT NO: 2!S-OD CONDOR PERSONNEL: <br /> AMBIENT CONDITIONSCircie : air ! adverse describe In notes section Z9 <br /> DATE: IZ f <br /> 2. PRE-PURGE DATA; Purge Volume Protocol(#of casing volumes) -2-1 <br /> Well Cas. Depth (ft.)Zz,S (Circle: measured / detail) Well Casing Diameter(in.) � <br /> - Depth-to-Water Q,v!Z (subtract from wellicasing depth) Measuring Point Location <br /> = Water Columns Purge Vol. Calc. (for 1 casing vol.) )AI = (multipliers: 2 inch=.163, 4 inch=.653, 5 inch=1.02) <br /> Field Inspection Samole: Appearance:_ _C (fAf - NO >Gt�Paeft) Odor: _ A-)Oy le <br /> (Speclrycolor,depree of clarity,preeence of sheen or product hose) (Specly slight,modente or strong) <br /> 3. PURGE DATA: Purge Device lJrl� <br /> If pumped, specify: discharge rate (gpm) depth pump set at(ft.) <br /> Time Vol; Purged Temperature g_H EC. If well purges dry,specify the following: <br /> 1 S (start) (cumurawa) (circle: F / C - 1) time <br /> - 2) volume purged <br /> -y �D 3) depth-to-water b <br /> 4) depth-to-water for 80% recovery <br /> 5) depth-to-water at time of sampling <br /> Total Vol. Purged(gals.) 7 rr <br /> l <br /> 4. SAMPLING DATA: No. of Contain Type of Container Requested Analxsis <br /> 46 Time Collected_ q <br /> Collection Device <br /> Sample ID__zSOU-bi9W/- <br /> b. CQA!QC SAMPLES: Duplicate (Circle): Yes ! 9 Sample ID <br /> Rinsate on sample collection device used on this well(Circle): Yes I(lo, Sample ID <br /> 6, DECONTAMINATION: Method (Circlffe. .:- andard Proaedur / Other <br /> (Standard contaminstlon procedure consists of Washingpearwrth.a solution of or anic_un water and Ilqulnox end then double rinsing with organic pUrb water. if$mother method Is used,describe In the field notes section.) <br /> 7. ADDITIONAL FIELD NOTES: <br /> f:lformslgwmnff,wbl (8195) <br />
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