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ARCHIVED REPORTS_XR0006696
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_XR0006696
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Entry Properties
Last modified
5/5/2020 10:18:27 AM
Creation date
5/5/2020 9:35:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006696
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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....... ....�� �� ei� ■..w■ �� � tltttttttt�s ■� � � � � � t� � ttttttttttttf (ttttttttttt■ (� <br /> 9QN -0IR EARTH TFCHNnLo_%ES • <br /> 186 Frank West circle,State t,Stockton CA 95108 GROUNDWATER MONITORING FIELD FORM <br /> 1 $fTE:_.. kk-dtf�tl l�� WI=LL iC: AW `-'7 <br /> PROJECT NO. <br /> AMBIENT CONDITiONS (Circle): fair adverse (describe In notes section) DATA DRrQPE R� Q � 4 <br /> 2 PRE-PURGE DATA: Pur• a Volume Protocol (#of casing volumes) <br /> Well Cas. Depth (fi.)4-4, (Circle: measureddata <br /> Depth-to-Water 3s• 3Z Well Casing Diameter(In.) <br /> _(subtract from well casing Depth) Measuringt Location /1� L <br /> Point O <br /> Water Column U;_Purge Vol. Calc, (for I casing vol,) 9.0 _ es <br /> (multipliers inch=.183 ]nch=.6353, 5 €nch=1 A2) <br /> Field Inspection Sam Appearance: eGr � oke <br /> Odor: 0 <br /> {Spac}ty color,de ae clarity,pro nca of ahaen or product phase) <br /> {9p,clfy a13ph�moderate,or alrong) <br /> 3 PURGE DATA: Purge Device: <br /> � � C Gtr �r <br /> If pumped, Specify: discharge rat (gpm) depth pump set at(ft.) <br /> 74 TimY-MumeTtim israturs <br /> ? RE EQ(stars) (cumu:ative) (circle: l r�, if well purges dry, specify the following: <br /> 111F n1A VV►► 1)time <br /> T. <br /> _ f o Z. <br /> � y . e 3 A � 2)volume purged <br /> •0 `�-- �f 3)depth to water <br /> 'zaf 4)depth to water for 850 recovery <br /> 9M- PM -- - 5) depth to water at time of sampling <br /> Total Vol. Purged (gals) --- <br /> i <br /> 4 SAMPLING DATA: &,_Q ontain13 04 <br /> tamer <br /> Ti_!eq"F�� <br /> me Collected <br /> ` Collection Device r !� <br /> Sample ID 4 IA 1 <br /> 5 QNG P Dupli-ate (circle): Yes IV <br /> Sample ID <br /> Rlnsa[te on sample collection device used on this well(circle): Yes,�V <br /> Sample 1D <br /> 6 DIECONTAMINAIM-Method (circle SE�an <br /> Other <br /> (Standard deronlarninat!on procedure consist,of washing gic pure water and llqulnux and then double riming with organic pure water,B another method Is kited,describe In the gold notes section.) <br /> T ADDITIONAL FIELD NE TES: <br /> -------------- <br /> I • <br /> O:1FormsTietd Formslgwmftlgwmff.xls <br /> I <br />
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