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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0516772
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/1/2020 12:44:39 PM
Creation date
6/1/2020 12:23:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0516772
PE
2965
FACILITY_ID
FA0012793
FACILITY_NAME
MUSCO OLIVE LAND APP/TITLE 27
STREET_NUMBER
17950
Direction
W
STREET_NAME
VIA NICOLO
STREET_TYPE
RD
City
TRACY
Zip
95377
APN
20911032
CURRENT_STATUS
01
SITE_LOCATION
17950 W VIA NICOLO RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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California Regional Water Quality Control Board <br /> Central Valley Region <br /> Robert Schneider,Chair "' <br /> Terry Tamminen Fresno Branch Office Arnold Schwarzenegger <br /> Secretaryfor Internet Address: http://www.swrcb.ca.gov/—mgcb5 Governor <br /> Environmental 1685 E Street,Fresno,California 93706-2020 <br /> Protection Phone(559)445-5116•FAX(559)445-5910 <br /> STANDARD REQUIREMENTS FOR MONITORING WELL INSTALLATION REPORTS <br /> Prior to installation of groundwater monitoring wells, the Discharger shall submit a work plan containing <br /> at least the information specified in this document. Wells may be installed after the Executive Officer's <br /> approval of the work plan. Upon installation of the monitoring wells, the Discharger shall submit a <br /> report of results, as described below. A registered geologist, certified engineering geologist, or civil <br /> engineer registered or certified by the State of California must sign all work plans and reports. <br /> Monitoring Well Installation Work Plan Report <br /> A. General Information: <br /> Monitoring well locations and rationale <br /> Survey details <br /> Equipment decontamination procedures <br /> Health and safety plan <br /> Topographic map showing any existing monitoring wells,proposed wells, waste handling facilities, <br /> utilities, and other major physical and man-made features. <br /> B. Drilling Details: describe drilling and logging methods <br /> C. Monitoring Well Design: <br /> Casing diameter Type of well cap <br /> Borehole diameter Size of perforations and rationale <br /> Depth of surface seal Grain size of sand pack and rationale <br /> Well construction materials Thickness and position of bentonite seal and sand pack <br /> Diagram of well construction Depth of well, length and position of perforated interval <br /> D. Well Development: <br /> Method of development to be used <br /> Method of determining when development is complete <br /> Method of development water disposal <br /> E. Surveying Details: discuss how each well will be surveyed to a common reference point <br /> F. Soil Sampling (if applicable): <br /> Cuttings disposal method Number of soil samples and rationale <br /> Analyses to be run and methods Location of soil samples and rationale <br /> Sample collection and preservation method QA/QC procedures <br /> Intervals at which soil samples are to be collected <br /> California Environmental Protection Agency <br /> ea Recycled Paper <br />
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