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ARCHIVED REPORTS_XR0004605
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_XR0004605
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Entry Properties
Last modified
3/10/2020 12:08:17 PM
Creation date
3/10/2020 8:56:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004605
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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JParky <br /> Envrronmentat ri <br /> Leaving A Clem Environment <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM ' <br /> Project Names Joie <br /> Job# – -- <br /> Date EEG e <br /> Sam tin Team K � <br /> (Names/Responsiblllties) ' <br /> Purpose of Sampling Initial Zoua:ftedy Verfication Other <br /> Weather Conditions ' <br /> GROUNDWATER LEVELICASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume ' <br /> Initial <br /> Time TOC to GW Depth Water Factor Gallons <br /> + � ' <br /> After develo 1 ur m 0 � r ` <br /> At time of Sam Im , Three Casing Volumes i 2 Gals <br /> Ten Casing Volumes Gals ' <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire �SubPUM Bader andpi er Other <br /> Method Description 2 `-f,-Ck <br /> Decontammatio Od <br /> Water Contain t ms baker tank <br /> Labeled- � 1 (� other ' <br /> Pum Vol Water m ECObserbservations <br /> Time Rate Extracted C umhos H color,t ods odor) ' <br /> StartI <br /> �: <br /> -4 cls{ r?�� <br /> r 1 <br /> 1 <br /> Lab t ;J <br /> SAMPLE INFORMATION ' <br /> Sampling Containers/Number of Containers/Analysis Preservation Description11 ' <br /> Liter Amber Ice and <br /> ''7 — 40 ml Voa f 'rf �,/� y;� -�., Ice and f4 W <br /> Other Ice and <br /> Time ' <br /> Device Dlsp� oailer l-,-� OtherP�er#inent F !d <br /> Obs <br /> e at ns V—or,- <br /> C del .IZ <br /> Deviations from Standard Sampling Protocol <br />
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