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ARCHIVED REPORTS_XR0006686
Environmental Health - Public
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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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CONDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> 1 SITE. _ WELLf D: jt4 w <br /> PROJECT N0: 00-7CONDOR PERSONNE 401/9 <br /> AMBIENT CONDITIONS (Circle),. air 1 adverse describe in notes section DATE: o Z z Q <br /> 2. PRE-PURGE DATA: urge Volume Protocol(#of casing volumes) <br /> Well Cas Depth (ft) (Circle measured 1 detail) Well Casing Diameter(in) <br /> 7 -�✓ <br /> - Depth-to-Water. G_�(subtract from well casing depth) Measuring Point Location_ � <br /> Water Columns Purge Vol Calc (for 1 casing vol} /14 <br /> `(multipliers 2 inch= 163, 4 Inch=653, 5 inch=1 02) <br /> Field Inspection SamLlle_ Appearance /Vo a Odor <br /> (Spec{ty color degree of clarity presence of sheen or product phase} (Speclly slight moderate or strong) <br /> 3. PURGE DATA Purge Device_�A?f moi– <br /> If pumped, specify discharge rate (gpm) depth pump set at(ft) <br /> Time Vol Purged Tem eratur 2–H EC If well purges dry, specify the following <br /> 1,25-25– (start) (cumulsthe) (cli'cle:FCp) 1 i) time <br /> fid+ [U--- Oi 6 <br /> 2) volume purged <br /> �— – - ��,.� D 11 90 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 /> 4. SAMPLING DATA No of Contain Type of Container Requested Analysis <br /> 2"•— g 7t x <br /> TW-6, – O Time Collected_ <br /> Collection Device 1a,9r r- <br /> - Sample ID l 7o?-M to 7` <br /> 5 QA 1 QC SAMPLES Duplicate (Circle) Yes 1 Sample ID A <br /> Rinsate on sample collection_d=e used on this well(Circle) Yes 1610 Sample ID <br /> 6 CONTAMINATION- Method (C:ircle) tandard Proced 1 Other <br /> (Standard decontamination procedure consists of washln gear With a solution of or ank pure water and Ilgvinox and than double rinsing with or ank pure water It another method Is used describe In the field notes section) <br /> 7. ADDITIONAL FIELD NOTES; <br /> f lformslgwmnff wb1 (8/95) <br />
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