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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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igGETTLER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# Tosco #11192 ,lob Number-' 180288 <br /> Site Address 1403 Country Club Blvd. Event Date 3 1 (Inclusive) <br /> City Stockton, CA Sampler <br /> Well ID MW- 4 Date Montlored Well Condition �k <br /> Well Diameter / 4 in <br /> q Volume 314'=0 02 1'=0 04 2'=017 '3'=0 38 <br /> Total Depth I tt lFactor(VF), 4'-066 5'=1 02 6'= 150 12'= 5 80 <br /> Depth to Water f $ ft ' ] 3 <br /> ' <br /> xVF t, = r x3(case volume) =Estimated Purge Volume J gal <br /> Equipment Sampling Equipment Time Started (2400 hrs) <br /> Purge Equi <br /> p Time Baled (2400 hrs) <br /> Disposable hailer Disposable Bader _ Depth to Product ft <br /> Stainless Steel Bailer Pressure Bader Depth to Water <br /> Stade Pump FZ Discrete Bailer Hydrocarbon Thickness ft <br /> Suction Pump Other Visual Confirmation/Descnption <br /> Grundfos Skimmer 1 Absorbent Sock(circle one) <br /> Other i Amt Removed from Skimmer gal <br /> Amt Removed from Well gal <br /> f Product Transferred to <br /> Start Time,(purge) d$ aZ Weather Conditions +�Q� <br /> Sample Time/Date Opo Water Color l¢U Odor <br /> Purging Flow Rate L�- gpm Sediment Description 12 <br /> Did well de-water? An If yes, Time �� Volume `" gal <br /> Time Volume H Conductivity Te rature DO ORP <br /> (2400 hr) (gal) p (umhos/cm) ( F) (mg/L) (mV) <br /> 6 39 ,., I D.r Via, L <br /> W -7.%f`7 <br /> 3� <br /> -7-41 4141 ar t <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW- x voa vial YES HCL STL Pleasanton TPH-GIBTEX/MTBE/8 O 's(8260) <br /> 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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