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ARCHIVED REPORTS_XR0006741
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_XR0006741
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Entry Properties
Last modified
5/5/2020 10:30:11 AM
Creation date
5/5/2020 9:52:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006741
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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CONDOR EARTH TECHNOLOGIES <br /> GROUNDWATER MONITORING FIELD FORM <br /> T SITE IL WELL ID: t GU <br /> PROJECT N0. 1-11)1 CONDOR PERSONNEL In <br /> AMBIENT CONDITIONS Circle : fai 1 adverse describe in notes section DATE. f <br /> 2. PRE-PURGE DATA urge Volume Protocol (#of casing volumes) <br /> Well Cas Depth (ft} t (Circle measured 1 detail) Well Casing Diameter(in) t� <br /> Depth-to-Watery {subtract from well casing depth) I Measuring Point Location �A- <br /> ~ Water Column-LL, I, Purge Vol Calc (for casing vol ) = Ei (multipliers 2 inch= 163,4 inch=653, 5 inch=1 02) <br /> Field Inspection Sam iLee Appearance f — R2 G" G PI-J Odor /U -A). <br /> (Specify color degree of clan ty presence of sheen or product phase) (Specify slight moderate ors rang) <br /> 3 PURGE DATA- Purge Device de kr"` <br /> If pumped,specify ischarge rate (gpm) depth pump set at(ft} <br /> Time Vol Purged Temperature pH E C If well purges dry,specify the following <br /> (start) (cumulatY@) (circle F /Q 1) time <br /> M 2 I� zy r 2) volume purged <br /> G �S __f�� �c� 2 �D ��/ 3) depth-to-water <br /> 4)r7' 74, 4) depth-to-water for 80% recovery <br /> 5) depth-to-water at time of sampling <br /> Total Vol Purged(gals) f <br /> 4. SAMPLING DATA: No of Contain TvDe of Container Requested Anal sis <br /> A MV,66, P66 Time Collected_ 00 5_ <br /> Collection Device �^ <br /> Sample ID 1,77 <br /> 5. QA!gC SAMPLES- Duplicate (Circle) Yes I 69) Sample ID <br /> Rinsate on sample collection device used on this well(Circle) Yes ! No Sample ID <br /> 6. DECONTAMINATION: Method (Circle tandard Proce e 1 Other <br /> (Standard decontamination procedure cons]sts or washlnear w th a solution or or an c pureiwbr and II ulnox and then double rinsing with organic pure water Ir another method Is uses describe In the field notes section) <br /> 7. ADDITIONAL FIELD NOTES: <br /> f lformslgwmnff wb1 (8195) <br />
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