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ARCHIVED REPORTS_XR0006691
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006691
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Entry Properties
Last modified
5/5/2020 10:14:00 AM
Creation date
5/5/2020 9:33:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006691
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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CO D THTC N0L9G1S • <br /> 788 Frank West Circle,Suite I,Stockton CA 95206 GROUNDWATER MONITORING FIELD FORM <br /> 9 SITE: Qa 4s per,C,` �L WELL ID: <br /> PROJECT FIO: O CONDOR PERSONNEL: <br /> AMBIENT CONDITIONS (Circle): fai 1 adverse (describe in notes section) DATE: p S 2- <br /> 2 <br /> 2 PRE-PURGE DATA: Pur a Volume Protocol(#of casing volumes) 3 <br /> Well Cas. Depth (ft.) (Circle: measured 1 detail 7 <br /> � Well Casing Diameter(in.) <br /> - Depth-to-Water (subtract from well casing Depth) Measuring Point Location_ <br /> Water Column 7.7,$ purge Vol. Calc. (for 1 casing vol.) . t7g {multipliers: 2inch=.153, 4 inch=.653, 5 Inch=1.02} <br /> Field Inspection Sam Appearance: /� i v.Ad, nervi <br /> Odor:---.c--.� <br /> c fy col ,degree of clar fy,presence of sheen or product phase) (Specify eight moderate,or strong) <br /> {Spe <br /> 3 PURGE DATA: Purge Device: <br /> If pumped, specify: discharge rate (gpm) depth pump set at(ft.} 431 <br /> Bi e_ volume Purged Tempprature UH F—C If well purges dry,specify the following: <br /> 1?2S <br /> MM <br /> (start) (cumuiat;ve) (circle; F 10 1)time <br /> �23 I�L4�S 2)volume purged <br /> •� 2 s• 3 S Z 19S4„S 3)depth to water <br /> AM I <br /> 13 34 II Y,p �S'� 6-s-5 _2,B 1611 4) depth to water for 80% recovery <br /> I Z 0 2-0 �,� •30 v 5)depth to water at time of sampling <br /> 1 _ l �.2S 14. ES S Z :z <br /> Total Vol. Purged (gals.) 2S- <br /> 4 SAMPLING DATA: Np. of Contain. Iype of Containeest <br /> ed Analysis <br /> - 009 $E Time Collected 12-5-0 <br /> — — � Collection Device <br /> 'C Sample ID O - ;,fGtll <br /> 5 QAQC SAMPLES: Duplicate(circle):Yes/0 Sample ID <br /> Rinsate on sample collection device used on this well (circle): Yes/Do Sample ID <br /> 6 I O Method(circle): tandard 17rocedur I Other <br /> (Standard decontarnlnaflon procedure conslsts of washing gear with a solution of organic pure water and liquinox and then double rinsing with organic pure water.If another method Is used,describe in the Wd notes section.) <br /> 7 ADDITIONAL FIELD NOTES: E"Xi' } D If Mrd 1 <br /> f �..�I �. p �ISr.- - .,- f G� Gr w oma/ <br /> O:WormslField Formslgwmfflgwmff.xlS <br />
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