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ARCHIVED REPORTS XR0006604
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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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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WELL MON ITORING/DEVELOPMENT <br /> FIELD DATA SHEET <br /> r 1 <br /> ClientlFacility # Tosco #11192 ,lob Number 180288 <br /> Site Address 1403 Country Club Blvd. Event Date ; <br /> City Stockton, CA Sampler a 4 <br /> Well ID MW-U Well Condition ©k <br /> Well Diameter 2 in r� n <br /> 1 <br /> Volume 314•-0 02 1"-004 2--017 3'=0 38 <br /> InitialTotal Depth d� ft <br /> Factor(VF) 4"-0 66 5 1 02 6'= 1 50 12'= 580 <br /> Final Total Depth b1 ft y <br /> Depth to Water ft 1 <br /> �'-31 _ ,VF xase volume)=Estimated Purge,Volume gal <br /> Purge Equipment Sampling Equipment Time Started (2400 hrs) <br /> Time Bailed (2400 hrs} <br /> Disposable Bader _ Disposable Bailer Depth to Product <br /> Stainless Steel Bader Pressure Bailer Depth to Water '` 1 <br /> Stack Pumpk Discrete Bailer Hydrocarbon Thickness ft <br /> Suction Pump Other Vusual Confirmation/Descnption <br /> Grundlos Skimmer/Absorbant Sods(circle one) <br /> Other Amt Removed from Skimmer gal <br /> Amt Removed from Well gal <br /> Product Transferred to <br /> Start Time (purge) 0%a Weather Condi#Ions <br /> Sample Time/Date 6`f33 1 3 3 Water Color cle4l 1 Odor no <br /> Purging Flow Rate gpm_ Sediment Description <br /> Did well de-water'? /10 If yes,-Time --- -" — Volume gal <br /> 1 <br /> Time Volume PH Conductivity Tem erature 'D O ORP <br /> (2400 hr) (gal) (umhosfcm) ( F) i (mg/L) (mV) <br /> 1 <br /> o�rol a _ 5 <br /> 01M _ �.3! 5t s <br /> 0Y6s? ~r.a. - 04 ate. <br /> aYlo q b �. s 4 q <br /> Old to 7� SSS <br /> o�rr� y -7 a a t5a__ 5� <br /> 0`f!r. 1 7 <br /> oyfa "7 �o sst aO.Lf <br /> o4ad '7 �LO <br /> O 4aLa6 p {} I Itn ?s <br /> LABORATORY INFORMATION <br /> SAMPLE ID (ff)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> I <br /> MW l S x voa vial YES HCL STL Pleasanton TPH-G/BTEX/MTBEI8O 's(8260) <br /> COMMENTS' <br /> Add/Replaced Lock �_ Add/Replaced Plug Size <br />
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