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ARCHIVED REPORTS_XR0004388
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545488
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ARCHIVED REPORTS_XR0004388
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Last modified
3/13/2020 8:55:14 AM
Creation date
3/10/2020 4:56:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004388
RECORD_ID
PR0545488
PE
3528
FACILITY_ID
FA0001393
FACILITY_NAME
MANTECA LIQUOR & FOOD
STREET_NUMBER
890
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
22302007
CURRENT_STATUS
02
SITE_LOCATION
890 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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0 9 0 <br /> WATER SAMPLING DATA FORM PARKER ENVIRONMENTAL SERVICES <br /> Fro7F,,�4 <br /> (i { ;7 j't 3- 13 —03 Well Me 1 u-791, 12 2} 7wo v a�e <br /> WCH UtFXh(t Ing wpment <br /> Momtanng Well Time pH Probe Na Temp Probe Na Cond Probe a <br /> C3 amplung Potot <br /> Depth to Water(R) Dat�me Q Other(dctx'tbe) <br /> 2L a -IS-9S fZ•�K 2 ?�f`6 �SS. � ey 5� <br /> Well Diameter(in.) LHC Present? L`iC Thtcimess 7 ?j 7 ��2 Cf q I <br /> C-7 ❑ Yes No 3 ' <br /> 4 _tL4 <br /> masa a t ot water well Volume CoavcMions. Sampling rqwpmcot 5 <br /> in Casing R) <br /> Dedicated ❑ Bladder Pump <br /> Volume(gal) eaatn a 0163 gal/f! System ❑ Ballet 6 <br /> ccs ng a PVC Boller Q 1/2 Inch <br /> D 4"cuing.0 653 gal/ft eon " 1 114 mcb oLat o ecGon ime Samples re p <br /> 4.S cuing a 0.826 gal/ft ❑ inch / <br /> Volume to be Evacuated 6'casing a 1470 VIM ❑ PE Hose CK End of Bailer ! <br /> x 3 q x 4 r casing■2610 gal/ft Sampling Port Na q Other r\ Depth to Water(ft) Refngecated? <br /> �` 10"casing Is 4 080 gal/ft II /n� i J�� — Yea ❑ No <br /> Rate <br /> �7 s Volume (gpm) Sample Color 50� (- H T L\' C LO U i. y Odor n, <br /> Evacuation cot/Poretgn �`I L�'� F I ti E Smatter r V <br /> Evacuated Evacuated Evacuated Evacuated <br /> 'f Sampling <br /> Stop Time `? $ ueaw <br /> Start Time <br /> •�, I Z 5 Sample ID Number Volume Time / Preservative Analysts R Lab e <br /> �,'!! -. 2�nii/ I'41? t'tL7( I i,l <br /> Minutes lG rf,�?� 6 L <br /> Lt— <br /> Amt Evacuated & CA L- <br /> Total Evacuated I( gal <br /> Taal Minutes ��mrti <br /> Evacuation Rate e'j t' C fpm <br /> ' Recovery Container Codes P e Plastic Bottle B a Brown Glass ml a milliliter L n liter <br /> O Yes KNO V.VOA C-Clear Glass tither describe <br /> Time Depth to Water <br /> Depth to Water Dunng Tiro Notes y <br /> Pumping(R) <br /> 2 <br /> Depth to Water Recovery <br /> for 8096 Recovery Rate(gpm) 3 <br /> Sampled ARer 96 Recovery at <br /> 4 ® shy <br /> 0 80%Ree. 0 2 hr, Time of Sampling 5 1 <br />
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