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ARCHIVED REPORTS_XR0004604
Environmental Health - Public
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EHD Program Facility Records by Street Name
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151
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3500 - Local Oversight Program
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PR0545482
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ARCHIVED REPORTS_XR0004604
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Entry Properties
Last modified
3/10/2020 12:53:31 PM
Creation date
3/10/2020 8:55:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004604
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
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EHD - Public
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1A , <br /> Y <br /> YP ,yy <br /> Environmental `i�'�5 <br /> ing A Clean Environment <br />' WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Nam <br />' Job# -1 <br /> Date <br /> Sam lin Team <br /> ' (Names/Responsibilities) <br /> Purpose Of Sampling Initial oQuarteri Verficatlon <br /> tWeather Conditions Other <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> ' WDe <br /> Feet of Conversion <br /> gTime Casln Volume <br /> Initial Water Factor Gallons <br /> rAfter develo / ur in ' r <br /> t time of sampling <br /> Three Casing Volumes Gals <br /> Ten Casing Volumes' Gals WELL DEVELOPMENT/PURGING <br /> Equipment Swab-AireSub Pu Baiter Sandpiper Other <br /> Me <br /> thod Description tri <br /> al�. <br /> Method <br /> Water Containme rum's baker tank <br /> ' Labeled q other <br /> Pum Vol Water Tem EC <br /> ' Time Rate Extracted Observations <br /> umhos <br /> Start color turbrdi oils odor <br /> r `Z <br /> 1 � e <br /> I <br /> ' <br /> Lab SAMPLE INFORMATION <br /> t ffi.� <br /> Sampling Containers/Number of Containers/Analysis Preservation Description _ <br /> ' 9 Liter Amb!r,�.... Ice and <br /> 40 ml Voa <br /> Other Ice and <br /> Ice and <br /> ' Time <br /> foDevice Disposable Bailers Other <br /> rtinent Field Observations <br /> Deviations from Standard Sampling Protocol <br /> 1 <br />
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