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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
Scanner
LSauers
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EHD - Public
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CON�QR R __TECjjNQ1CIES 0 <br /> 188 Frank West Circle,suite 1,Stockton CA 96200 GROUNDWATER MONITORING FIELD FORM <br /> SITE: 4 WELL ID: M W - <br /> PROJECT ISO:__ CQNi]OR PER nI L; <br /> AMBIENT CONDITIONS (Circle): fair l adverse (describe in notes section). DATE: 1 0 • <br /> 2 PRE-PURGE DATA: Purge Volume Protocol (#of casing volumes) <br /> Well Cas. Depth (ft.). Ise—(Circle: measured dela Well Casing Diameter(In.) <br /> - Depth-to-Waley g p ) Measuring Point Location /1'f DG <br /> �3 (9_(subtract from well casing Depth <br /> =Water Column__Z .�! Purge Val. Caic. (for f casing vol.) I. 7� — •Z {mtiltipifers: inch=.783 inch�.853, 5 fnch=1.02) <br /> Field inspection Sam Appearance: <br /> Odor: <br /> (Spaclfy color,degree of clarity,presence of sheen or product phase) (Spedfy slight,moderate,or strong) <br /> 3 PURGE DATA: Purge Device: <br /> Itum ed Specify.- rate <br /> p p p �� (gPm) depth pump sat at(ft.) <br /> 7 Volume purged PH ELQ If well purges dry, specify the following: <br /> AM I PM (start) (cumuiallve) (circ�F ) <br /> [(. 1 AM I PM 7 1)time <br /> 2)volume purged <br /> •S 3)depth to water <br /> r . �r <br /> — 4)depth to water for BO% recovery <br /> _ w AM 1 PM 5)depth to water at time of sampling <br /> Total Vol. Purged(gals.) <br /> 4 SAMPLING DATA: Cif Conti, <br /> 3 eq Sir <br /> Time Collected kLk�S d <br /> Collection Device <br /> Sample ID 0 — M — 10 Ol <br /> S QAM SAMPL -1 Duplicate(circle):Yes 1® Sample ID <br /> Rinsste on sample collection device used on this well(circle); Yes Sample ID <br /> B DECO dTA1VIthIADON_Method (circle Standard Procedure Other <br /> (511enderd decontamination procedure consists of washing gear with a so u ion of organic pure water and Ilqulnox and then double rineing with argante pure water.If another method Is used,describe in the t1ald Was seotion.f <br /> 7 ADDITIONAL FIELD NC TIRS. <br /> 0AFormsTleld Formslgwmfflgwmff.xls <br />
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