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ARCHIVED REPORTS_XR0006756
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006756
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Entry Properties
Last modified
5/5/2020 10:38:21 AM
Creation date
5/5/2020 9:56:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006756
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 /> 1125N GOLDEN STATE BLVD,,TURLOCK,CA GROUNDWATER MONITORING FIELD FORM <br /> 1. SITE' t 1I _ WELL ID• A ouL/ fi+r <br /> PROJECT NO: 1-2) I CONDOR PERSONNEL,: A Q!� <br /> i <br /> AMBIENT CONDITIONS (Circle): fair 1 ,adverse describe In notes section DATE: ! 'f/ <br /> 2 PRE-PURGE DATA: Purge Volume Protocol(#of casing volumes) 3 <br /> Well Cas Depth(itLZ_(Circle measured / detail) Well Casing Diameter(in) Z / -7 Depih-to-Water41- <br /> .)(r subtract from well casing depth) Measuring Point Location__ h 11 , <br /> Water Calumny? Purge Vol Calc (for 1 casing vol) <br /> r,(multipliers 2 Inch= 163,4 Inch=653, 5 inch=l 02) <br /> Field Inspection Sample_ Appearance r(c-8r ti <�,�-,�, _ Odor I, r , -C <br /> (Specify color,degree of clartty,presence of sheen or w!!=02 (SpetMy slight,moderate or strong) <br /> 3 PURGE DATA: Purge Device__ ID aq ,) r <br /> If pumped, specify discharge rate(gpm) depth pump set at(ft} <br /> Time Vol Purge d Temperature pH '-city If well purges dry, specify the following. , <br /> i r (Start) (cUmur,We) (circle F /Cq) I` -� 1) time <br /> In <br /> `_ 2) volume purged <br /> 3) depth-to-water <br /> ,-- 6,; 4) depth-to-water for 80%recovery <br /> 5) depth-to-water at time of sampling <br /> Total Vol Purged(gals]i <br /> 4. SAMPLING DATA: t!o of Contain Type of Containerr` <br /> .requested Analysis <br /> 1l 2)-;r Time Collected r } <br /> Collection Device 1 Er ._ <br /> Sample 1D 171 7 <br /> 5 QA 1 QC SAMPLES: Duplicate (Circle) Yes 1 No- Sample ID <br /> Rinsate on sample collection device used on this well(Circle) Yes 1(6-o-> Sample ID <br /> 6 DECONTAMINATION: Method(Circle) Standard Procedure 1 Other <br /> ------ an P g-p -- g p e and tlqulnox and then double_..-.... _,_ _ notes section) <br /> 5tandaid deconlamina[bn procedure tohstats of washfn ear with a solution of or ank we wafer __ - tlnsing with organic pure water !f another U used describe N the field <br /> 7 ADDITIONAL FIELD NOTES: <br /> i <br /> I <br /> f*rmslgwmnfI`wb 1 (8195) <br />
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