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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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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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A <br /> YJ <br /> YPark <br /> Environmental ft �J <br /> Leaving A Clean Environment <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name <br /> Job# <br /> Date r <br /> Sam lin Team <br /> {Names/Responsibilities) 1 <br /> Purpose of Sampling Initial Quar#erty Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Total Feet of Conversion ' <br /> Time TOC to GW De h Casing Volume <br /> Initial Water Factor Gallons <br /> After develo ! ur In I <br /> 11 <br /> At time of Sampling / ! Three Casing Volumes L.Gals <br /> Et !t Ten Casing Volumes Gals ' <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire " Sub Pump Bader Sandpiper Other <br /> 141 <br /> Method Description tl 1 1 0 <br /> Decontamination Methodc t 1 r <br /> Water Containment drums Maker ank <br /> Labeled !, 1A other ' <br /> t <br /> P mp Vol Water Tem EC <br /> Time Rate Extracted F umhos Observations <br /> Start 3'� ��2 2 H color turbi IV oils,odor <br /> /Zo <br /> Lab Si�� SAMPLE INFORMATION ' <br /> Sampling Containers/Number of Containers/Analysis Preservation Description ' <br /> 1 Liter Amber Ice and <br /> 40 ml Voa - f✓I� _ <br /> Other Ice and L <br /> Ice and ' <br /> Time <br /> Device Disposable eaoDisP Baller%..- � Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />
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