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ARCHIVED REPORTS_XR0006695
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006695
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Entry Properties
Last modified
5/5/2020 10:17:32 AM
Creation date
5/5/2020 9:35:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006695
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 oO E R C <br /> LAG ES <br /> 188 Frank%Vest Circle,Suite 1,Stockton CA 96206 GROUNDWATER MONITORING FIELD FORM <br /> 1 81TE: e4 Af .44 EE�4LL1L7: 1 �V f Z <br /> PROJECT N0:___ I T 7 <br /> CONDOR PER ON L: <br /> .AMBIENT CONDITIONS (Circle): fair 1 adverse (describe In notes section) DATE: 10 <br /> 2 PRE-PURGE DATA: Purge Volume Protocol(#of casing volumes) <br /> Well Cas, Depth (ft.)�4.a_(Circle: measuredBeta 2 "r <br /> Well Casing Diameter(irt_) <br /> -Depth-to-Water .g,Z(subtract from well casing Depth) Measuring Point Location /W OG <br /> =Water Column . 3 Purge Vol. Calc. (for 1 casing vol,) s• - 17•Z�(multipliers: 2 inch-763, Inch=.663, 5 Inch-1.62) <br /> Field Inspection Sam Appearance: i4 f j* <br /> �/(SpOdor; /ata, <br /> ecify color,de rem clarity resents o sheen or product phosa) 9 as{ p fy ' 4 mod or strong) <br /> 3 PURGE DATA: Purge Device: <br /> If pumped, specify: discha go rate (gpm) depth pump set at(ft.} <br /> u ed Temntsrature IzH EAQ If well purges dry, specify the following: <br /> LAM I PMRM (start) (cumulative) (Circle: F 1� <br /> 31- f.7r 1)time <br /> - - 2 Zed 2) volume purged <br /> •S 2 S3)depth to water <br /> 17- t(— l ZrlJ 4)depth to water for 80%m recovery <br /> _ AM I PM <br /> . 9M 1 PM 6)depth to water at time of sampling <br /> Total Vol, Purged (gals.) - <br /> I <br /> 4 SAMPLING DATA: ,ontafner <br /> . 04 e <br /> 8� Time Coil l= <br /> ectad ,f ry_ � <br /> Collection Device rv; <br /> Sample iDOri /Vj <br /> 5 QAIQ'SAMPI F& Duplicate(circle): Yes 1� Sample ID <br /> Rlnsate on sample collection device used on this well(circle): Yes�1 Sample ID <br /> B O Method (circle Sta�&W <br /> Other <br /> (Standard deconlemkiatlon procedure consists of washing ic pure water and Oqulnox and then double tlnsing with organic pure water.if another method Is used,describe in the field notes section,) <br /> 7 ADDITIONAL_ FIELD NCTES: <br /> C)VormsTleld FarmslgwmfRgwmff.xls <br />
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