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ARCHIVED REPORTS_XR0006695
Environmental Health - Public
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EHD Program Facility Records by Street Name
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6230
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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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LSauers
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EHD - Public
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� D t goo s <br /> 188 Frank West Circle,suite i,Stockton CA 95206 GROUNDWATER MONITORING FIELD FORM <br /> SITE: WELL ID: yy <br /> PROJECT NO:_ 1 7� F C <br /> ONDOR PER �01_: <br /> AMBIENT CONDITIONS (Circle): fairladverse (describe in notes section) DATE: 10 <br /> 2 PRE-PURGE DATA: Purije Volume Protocol (#of casing volumes) ?! <br /> Well Cas. Depth (fl.) (Circle: measured defa <br /> Well Casing Diameter(in.) _ <br /> - <br /> Depth-to-Water— <br /> Water <br /> (subtract from well casing Depth) Measuring Point Location 4f 04 <br /> =Water Column —Purge Vol. Calc. (for I casing vol.) Z0.ys <br /> (multipliers; 2 inch-.163, inch-.653 ir;ch-f.02) <br /> E=leid Inspection Sam Appearance. <br /> Odor: <br /> (Specify rAlvr,degree of darlty,presence of sheen or Product phase) <br /> (Spodfy sllght,moderato,or strong) <br /> 3 PURGE DATA: Purge: Devic <br /> If pumped, specify: discharge rate (gpm) depth pump sat at <br /> (ft.) <br /> Tim Yaltrme Purnarl a if wall purges dry, specify the <br /> (start) (curnulatwe; (circle: F C <br /> I-Z �-�1 PM 7S tL� 9) time � yfollowing: <br /> [?.jAU._.._AM _P_M3.S , 2}volumi purged <br /> _ _, AM I l'MZa•ts- �� 6.1,Era_ <br /> �-- 3,069&k- 3} depth to water <br /> AMLEM ` 6A� a�, ,u.S 4)depth to water for 80% recovery <br /> ARAIM&I 5) depth to water at time of sampling <br /> Total Vol, Purged(gals,) <br /> 4 SAMPLING DATA: No.of aln. moues _ <br /> Time Collected .I <br /> Collection Device <br /> Sample ID <br /> 5 A Duplicate (circle):Yes 1 i� Sample Ill <br /> RinsMe on sample collection device used on this well (circle): Yes�I Sample id <br /> 6 Method (circle • Standard Procedure Other <br /> (Standard deconleminatifln procedure consists aS washing gest with a solu ion of organic pure water and liquinox and then double rinsing with organic pure water,11 another method Is used,describe In the held notes saC,lar,.} <br /> 7 ADDITIONAL FIELD NE THS: <br /> O'lFormsTfeld Formslgwmfflgwmff.xls <br />
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