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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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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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� -o��o_11 c o s <br /> 188 FrankWest Circle,suite 1,Stockton CA 98108 GROUNDWATER MONITORING FIELD FORM <br /> SITE: CAhW,9f ,�� WELL ID: <br /> PROJECT NO:��T <br /> CONDOR Pi=R oN 1`: <br /> AMBIENT CONDITIONS (Circle): fair!adverse (describe in notes section) DATE:__L0 <br /> 2 PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) 3 T <br /> Well Cas. Depth (ft.)_1f!;! (Circle: measured(gap Well Casing Diameter(in.) <br /> - <br /> Depth-to-Water_ Is-sl(subtract from well casing Depth) Measuring Point Location llf OL <br /> =Water Column_ Purge Vol. Calc. (for 1 casing vol,) -r.SD <br /> • (mulifplier( inch=,18 4 inch=.653, 5 €nch=1.02) <br /> Field Inspection Sam Appearance: fePyr /_/A <br /> Odor: O <br /> (SpeerY color,b egrea of clarilf,presence of sheen or product phase) (Speolfy slight,moderate,or strong) <br /> 3 PURGE DATA: Purge Device: <br /> If pumped, specify: discharge rate (gpm) depth pump set at(ft.) <br /> VQIUma Putued Tem erature RH FC if well purges dry, specify the following: <br /> 12b (start) (cumulative) (circle: P 10) <br /> 2, r s- 2 j• D e 3 y 1}time <br /> f 2 volume purged <br /> 3:zo M <br /> lLdj?Am i PmZl' 3)depth to water <br /> � 9 <br /> • o vJ 4)depth to water for 800/6 recovery <br /> —_ AM!PM 5)depth to water at time of sampling <br /> Total Vol. Purged(gals.) <br /> 4 SAMPLING DATA: 9ntain. <br /> 3. 04_ <br /> 8� Time Collected ;Z <br /> Collection Device ��pr ti <br /> --- Sample ID 07 Al <br /> 5 QA1aC–SAME19&- duplicate(circle):Yes 1® Sample ID <br /> Rlnsate on sample collection device used on this well (circle): Yes Sample ID <br /> 6 DECONIAMABONMethod (circle • Standard Procedure Other <br /> (Slanderd deeonteminagon procedure constals of washing gear with a so ut on of orgenlc pure water and Ilqu#nox and than double rinsing with organic pure water.If another method la used,describe In the field noted section.) <br /> 7 ADDITIONAL FIELD NOTES: – _-- –•-_ _ -- <br /> O:TarmslFieid FormslgwmfRgwmff,xls <br />
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