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ARCHIVED REPORTS_XR0006693
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006693
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Entry Properties
Last modified
5/5/2020 10:12:50 AM
Creation date
5/5/2020 9:34:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006693
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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CQ ❑4R EARIH-TEQHN'QLQQjES <br /> 188 Frank West Circle, suite 1,Stockton CA 95206 GROUNDWATER MQNITORING FIELD FORM <br /> 1 51TE: � ' <br /> ( WELL ID:(�tl�1 r0 <br /> PROJECT NO:t1-0_ CONDOR PERSONNEL: i <br /> AMBIENT CONAITION9 (Circle);@I adverse (describe in notes section) DATE: to <br /> z ARE-PURGE DATA: Purge Volume Protocol (#of casing volumes)- - <br /> Well Can, Depth(ft.)-b-�5A (Circle: measured 1 detail Z <br /> } Well Casing Diameter(in.) <br /> -Depth-to-Water $ _(subtract from well casing Depth) Measuring Point Locations '6\0 <br /> = Q "� <br /> Wafer Column ------ <br /> _,Purge Vol. Calc. (for 1 casing vol,) 5 •03 =(5 A (multipliers;2 inch=.163,4 inch=.653, 5 inch=1.02) <br /> Field Inspection Sam Appearance: 6r c E11- oil. Odor:�Ir1D{tit <br /> 5 edf color,de re of clarity, n -•- <br /> { P y g yyrp�senc�of sheen or product phase) (Specify all8hl,mdderata,er alrong) <br /> 3 PURGE DATA: Purge Device: e' ., n o a.l-• <br /> If pumped, specify: discharge rate (gpm).b7� depth p'ump set <br /> �'' ,, T "e Volurne�Purges er perature PH EC If well purges dry,specify the following: <br /> ��AM !PM (start) (cumulative) (drele: F <br /> 1) time <br /> 2)volume purged <br /> 5LL<, 3)depth to water <br /> J. �{M f PM f t —-�i='� I— S a)depth to water for 80%recovery <br /> L J <br /> r� <br /> � ' V10;` depth to water at time of sampling <br /> Total Vol, Purged(gals.) <br /> 4 SAMPLING DATA: ND-Qf Contatn. Tvnp of CotrttaiM Bequealad <br />� 3 <br /> Time Collected ISM <br /> --- �� '•� Collection i]evice <br /> Sample i -�JN\r <br /> �, � <br /> 5 C-A[9Q- M ES- Duplicate(circle): Yes Sample JD_ <br /> Rinsate on sample collection device used on this well(circle): Yeso Sample ID <br /> 6 DEC-0-NTAMINAM Method (circle). d d Proce 1 Other <br /> (Standard derantaminatian procedure consists of was})ing Bear with a solution of organic pure water and liquinox and than double rinsing with organic pure water.If another me0iod is used,describe to the Bald notes section.) <br /> 7 ADDITIONAL FIELD NOTES: 1,.1 c, C. ��•G,> � -� � c 11V <br /> a <br /> OVormslTieeld {=ormslgwmfflgwmff.xls <br />
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