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ARCHIVED REPORTS XR0000037
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0543845
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ARCHIVED REPORTS XR0000037
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Entry Properties
Last modified
10/23/2018 6:44:08 PM
Creation date
10/23/2018 4:51:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS XR0000037
FileName_PostFix
XR0000037
RECORD_ID
PR0543845
PE
3526
FACILITY_ID
FA0005867
FACILITY_NAME
STOCKTON METRO AIRPORT*
STREET_NUMBER
5000
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
17726034
CURRENT_STATUS
02
SITE_LOCATION
5000 S AIRPORT WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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' SAMPLING INFORMATION SHEET <br /> Client Ramage Env Sampling Date <br /> 72- <br /> Site <br /> Site Stockton Metro Airport Project No <br /> Stockton Well Designation <br /> r <br /> Is setup of traffic control devices required? YES time hours <br /> Is there standing water in the well boxy YF& Above TOC Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked? 7S NO If no, see remarks <br /> Height of well casing riser(m inches) <br /> Well cover type 8"or 12"UV 12"EMCO 8"or 12"BK 8"Christy <br /> 12"Christy 8"M&D _ 12"M&D 12"DWP <br /> 12"CNI 36"CNI 12" Pomeco Other <br /> General condition of wellhead assembly Excellent Good Fair Poor <br /> Purging Equipment 2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with Disposable bailer; Teflon bailer Disposable Tubing <br /> Well Diameter 2" 4" 6" 8" <br /> Purge Vol Multiplier 0 16 065 1 47 2 61 gal/ft <br /> Initial Measurement Recharge Measurement g. <br /> Time Time Calculated purge <br /> Depth of well rg 11-9-5 Depth to water ` --- Actual purge <br /> Depth to water '/') <br />' Start purge Z Z� Sampling time rd� <br /> Time Temper ature E C is 2H Turbidity Volume <br /> Sample appearance �e wwc 01/ Lock <br /> Equipment replaced (check all that apply) Note condition of replaced item(s) <br /> 2" Locking Cap Lock 7/32 Allenhead <br /> 4" Locking Cap Lock-Dolphin 9/16 Bolt <br /> 6" Locking Cap Pinned Allenhead (DWP) <br /> Remarks <br /> Signature <br />
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