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ARCHIVED REPORTS XR0006604
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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1403
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2900 - Site Mitigation Program
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PR0505513
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ARCHIVED REPORTS XR0006604
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Entry Properties
Last modified
6/21/2019 10:42:18 AM
Creation date
6/21/2019 9:09:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006604
RECORD_ID
PR0505513
PE
2950
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
02
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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92 GETTLER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# Tosco #11192 ,fob Number 180288 <br /> Site Address 1403 Country Club Blvd. Event Date 1 3 6 5 (inclusive) <br /> City Stockton, CA Sampler <br /> i ` 5 <br /> Well ID MW- Date Monitored Well Condition <br /> Well Diameter 2 1 in h <br /> Volume 314"=0 02 1'-004 2"=0 17 3'-0 38 <br /> Total Depth aq'4 ft Factor(VF) 4"=0 66 5'=1 02 6"= 1 50 12'- 5 80 <br /> Depth to Water I ft 1 + , , <br /> i EQ I <br /> I�( �,D VF ' _ � x3(case volume) =Estimated Purge Volume ga <br /> Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment Time Bailed (2400 hrs) <br /> Disposable Bader Disposable Bailer X Depth to Product ft <br /> Stainless Steel Bader Pressure Bailer Depth to Water <br /> Stack Pump Discrete Bader 'Hydrocarbon Thickness ft <br /> Visual Conf�rmetion/Descnption <br /> Suction Pump Other , <br /> Grundfos Skimmer/Absorbant Sock(circle one) <br /> Other Amt Removed from Stammer gal <br /> Amt Removed from Well gal <br /> Product Transferred to <br /> Start Time (purge) Weather Conditions ' [ Aga., <br /> Sample Time/Date a / 1 33 Water Color Odor L-_/ " f <br /> Purging Flow Rate 1 S gpm Sediment Description -r <br /> Did well de-water9 ^0 If yes,Time 1__� Volume gal <br /> Time Volume p H Conduclrvriy Tem rature D O ORP <br /> (2400 hr) (gal) (umhos/cm) 0cF) (mg/L) (MV) <br /> 096a s Ifs-5- 71, <br /> T '-f to 1 o <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW-7 $ x voa vial YES HCL STL Pleasanton TPH-G/BTEX/MTf3E/8 Oxy's(8260) <br /> j x voa vial YES HCL STL Pleasanton Tertiary-butyl Formate,Tertiary-butyl <br /> Acetate,Acetone(8260) <br /> COMMENTS <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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