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ARCHIVED REPORTS_XR0006686
Environmental Health - Public
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EHD Program Facility Records by Street Name
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6230
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006686
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Entry Properties
Last modified
5/5/2020 10:15:15 AM
Creation date
5/5/2020 9:31:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006686
RECORD_ID
PR0543479
PE
2960
FACILITY_ID
FA0024679
FACILITY_NAME
CANEPA'S CAR WASH
STREET_NUMBER
6230
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
081360030
CURRENT_STATUS
01
SITE_LOCATION
6230 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
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EHD - Public
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�if� �! �� i� its � � ititw itli� f)!i! � i♦ !ice �� !i♦ <br /> CONDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> 1. SITE: C-411)4qll �5 WELL ID: P4 it) <br /> PROJECT NO. 1`7b"� CONDOR PERSONNEL <br /> AMBIENT CONDITIONS (Circle): fai 1 adverse describe in notes section DATE. <br /> 2. PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) <br /> Well Gas Depth (ft)fit (Circle measured / detail) Well Casing Diameter - <br /> - <br /> Depth-to-Water 3-1; ,q(subtract from well casing depth) Measuring Point Location <br /> = Water Column a 12. Purge Vol Calc (for 1 c�smg vol) = si y (multipliers 2 inch= 163, 4 inch=653, 5 inch=1 02) <br /> Field Inspection SamiLle Appearance C_((�'v4i -- c)-5 t J ___ Odor <br /> (Specify color degree of ctarlty,presence of sheen or product phase) (Specifysllght moderate or strong) <br /> 3. PURGE DATA, Purge Device 64Il�- <br /> r <br /> If pumped, specify discharge rate(gpm) depth pump set at(ft) <br /> Time Vol Purged Temperature P—H E C If well purges dry,specify the following <br /> 0� (start) (cumulatNe) (circle F /( 1) time <br /> 1140g (0 ��r 3 ) ?_ 2) volume purged <br /> rl <br /> 1 ✓ f�:_ l-1 V ' a .`- '' 3) depth-to-water <br /> 61?"? � _ /'?, 4) depth-to-water for 80% recovery <br /> 5) depth-to-water at time of sampling <br /> Total Vol Purged (gals) <br /> 4 SAMPLING DATA, No of Contain T e 2f Container Requested Analysis <br /> -6 4oO Time Collected C";.`� <br /> Collection Device ljrl Imo` <br /> Sample ID /70- /,Litt) 3 /723/17 <br /> 6. QA/QC SAMPLES Duplicate (Circle) Yes 1 o Sample ID <br /> Rinsate on sample collection device used on this well (Circle) Yes / o Sample ID <br /> 6 DECONTAMINATION Method((:ircleCStandard Procedure Other <br /> (standard dxonteminatlon procedure consists of wash) pear with`a 6-` ter-and Iiqulnox and then double rinsIng with organic pure water It another method Vs used de fta In the lbld notes seetlon} <br /> 7. ADDITIONAL FIELD NOTES: <br /> f Wormslgwmnff wb1 (8/95) <br />
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