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ARCHIVED REPORTS_XR0004602
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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PR0545482
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ARCHIVED REPORTS_XR0004602
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Last modified
3/10/2020 12:45:55 PM
Creation date
3/10/2020 8:55:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004602
RECORD_ID
PR0545482
PE
3528
FACILITY_ID
FA0005075
FACILITY_NAME
DONS MOBILE GLASS
STREET_NUMBER
151
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
953365719
APN
21941015
CURRENT_STATUS
02
SITE_LOCATION
151 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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n <br /> P jrk <br /> The , <br /> / <br />' Gorppration <br /> • <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Na e -z- <br /> Job# <br />' Date <br /> Sam Itn Team <br />' (Names/Responsibilities) <br /> Purpose of Sampling InitialQaaKeriy Velcation Other <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br /> ' Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial ,40 2 S ls5 <br /> After develo 1 ur in <br /> At time of Sampling Three Casing Volumes Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire ESubpum)p Sailer dpiper Other <br /> Method Description Z" <br /> Methodoeco-tamination <br /> ater Containme r m baker tank other <br /> Labeled <br /> Pump Vol Water Temp EC Observations <br /> Start Time Rate Extracted FIC umhos H color turbidi oils odor <br /> ' <br /> l <br /> `Z- <br /> SAMPLE INFORMATION <br /> Lab <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 ml Voa Ice and c.L, <br /> Other Ice and <br /> Time / <br /> Device Disposable Bailer ✓ Other <br /> �rtinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />
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