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ARCHIVED REPORTS_XR0009611
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PARK
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2900 - Site Mitigation Program
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PR0542235
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ARCHIVED REPORTS_XR0009611
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Last modified
5/4/2020 3:17:20 PM
Creation date
5/4/2020 2:45:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009611
RECORD_ID
PR0542235
PE
2960
FACILITY_ID
FA0024262
FACILITY_NAME
CANEPA CAR WASH
STREET_NUMBER
248
Direction
E
STREET_NAME
PARK
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13906035
CURRENT_STATUS
01
SITE_LOCATION
248 E PARK ST
P_LOCATION
01
QC Status
Approved
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EHD - Public
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CONDOR EARTH TECHNOLOGIES <br /> 1125 N GOLDEN STATE BLVD ,TURLOCK, CA GROUNDWATER MONITORING FIELD FORM <br /> 1 SITE CikwQPA1 Pkj-�� WELL ID: MW <br /> PROJECT NO, zoo CONDOR PERSONNEL !� <br /> AMBIENT CONDITIONS Circle ' ai ! adverse describe in notes section DATE. dIf I <br /> 2 PRE-PURGE DATA- Purge Volume Protocol(#of casing volumes) <br /> Well Cas Depth (ft) (Circle measured ! detail) Well Casing Diameter(in) <br /> - Depth-to-Water (subtract from well casing depth) Measuring Point Location V <br /> = Water Column Purge Vol Calc (for 1 casing vol ) — (multipliers 2 inch= 163, 4 Inch=653, 5 Inch=1 02) <br /> Field Inspection Sample Appearance Odor <br /> (Specl y color degree of clarity presence of sheen or product phase) (Specify sllght,moderate or strong) <br /> 3 PURGE DATA- Purge Device <br /> If pumped, specify discharge rate (gpm) depth pump set at(ft} <br /> Time Vol Purged Temperature pH E C if well purges dry,specify the following <br /> (start) (cumulam) (circle F 1 C) 1) time <br /> 2) volume purged <br /> 3) depth-to-water <br /> 4) depth-to-water for 80% recovery <br /> 5) depth-to-water at time of sampling <br /> Total Vol Purged (gals) <br /> I <br /> 4. SAMPLING DATA No of Contain Type of Container Requested Analysis <br /> Time Collected <br /> Collection Device <br /> Sample ID <br /> 5 QA 1 QC SAMPLES Duplicate (Circle) Yes I No Sample ID <br /> Rinsate on sample collection device used on this well (Circle) Yes 1 No Sample ID <br /> 6 DECONTAMINATION Method(Circle) Standard Procedure I Other <br /> (Snndard decontamination procedure consists of washing gar wlpl a solution of organic pure water and hqulnex and then double rinsing wdh organk pule rater tf anotnei methoo Is used describe ui the held notes section l <br /> 7. ADDITIONAL FIELD NOTES !V wed ii's ew proorow v 64 ar- JCAw tir <br /> Ob A( 4D txift D o ions � qA) 10e41-1 <br /> f lformslgwmnff wb1 (8195) <br />
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