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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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CO_ N�,O�Z R C OG <br /> 188 Frank West Circle,suite I,Stockton CA 95208 GROUNDWATER MONITORING FIELD FORM <br /> 1 $ITE: i'k! orj ,C(, WELL ID: <br /> PROJECT �I�j fit! <br /> fv0: 7 CONDOR PER ON E <br /> AMBIENT CONDITIONS (Circle): fair adverse (describe in notes section) DATE: 10 Z3 D <br /> 2 PRE-PURGE DATA: Pur a Volume Protocol (#of casing volumes) <br /> Well Cas. Depth (ft.) (Circle: measuredWell Casing Diameter(in.) <br /> _ <br /> Depth-to-Water V.Z2_ dela(subtract from well casing Depth) Measuring Point Location /if OL <br /> Water Column�_Purge Vol. Calc. (for 1 casing vol.) = 1 S! (multipliers• inch=.113 4 Inch=.853, 5 Inch-1.02) <br /> Field Inspection Sam Appearance: C rf4 1_A <br /> � Odor: <br /> (Spoevy color, 49 of clifilly,presence a sheen or product phase) (Specify d:ph4 moderate,°r slronp) <br /> 3 PURGE DATA: Purge Device: r <br /> If pumped,specffy: discharge rate (gpm) depth pump set at{ft.} <br /> volumaymnad Temperature tH EG if well purges dry, specify the following: <br /> {start) lcumtr)allve) (circle: F 10) <br /> 1)time <br /> —t-91 ARLEM <br /> a4Via-Ps�f 2)volume purged <br /> AM 1 PM p <br /> 7AMIRM 3) depth to water <br /> 4)depth to water far BO°/a recovery <br /> -AM-/PM 5} depth to water at time of sampling <br /> Total Vol, Purged (gals.) <br /> 4 SAMPLING IATA: l�io.aContainer <br /> 3 IW eq BF <br /> Time Collected 'Z'0 <br /> Collection Device <br /> Sample IIS O - NI -• 10 �� <br /> 9AQ9.5AML'LX&- Duplicate (circle):Yes If� Sample iD <br /> Rinsate on sample collection device used on this well (circle): Yes <br /> Sample I <br /> e EPONIAMI.NAROXMethod (circle ' Standard Procedure Other <br /> (Standard deconleminatlon procedure conelsts of washing gear with a so ution of organic pure water and ilqulrrox end then double rinsing w&h organic pure water.If another method is tried,describe In the field holes section.) <br /> 7 ADDITIONAL.FIELD METES,; <br /> O.1FormslFleid Formslgwmfflgwmff,xiS <br />
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