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ARCHIVED REPORTS XR0006605
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 XR0006605
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Entry Properties
Last modified
6/21/2019 10:38:41 AM
Creation date
6/21/2019 9:09:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006605
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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6ETTLER - RYA N INC. <br /> WELL MONITORING/SAMPLING i <br /> FIELD DATA SHEET <br /> Client/Facility # Tosco #l!11192 ,lob Number 180288 <br /> Site Address 1403 Country Club Blvd. Event Date // y (inclusive) <br /> City Stockton, CA Sampler <br /> Well ID MW- :5 Date Monitored 41ZIsa-Z— Well Condition 49.h— <br /> Well Diameter 2 / 4 in <br /> Volume 314"=0 02 1"=0 04 2'=0 17 3'=0 38 <br /> Total Depth L&A-S ft Factor(VF) 4'=0 66 5"=1 02 6"= 1 50 12'a 5 80 <br /> Depth to Water -gip lay ft <br /> xVF x3{case volume}=Estimated Purge Volume _gal <br /> FHydrocia:rbon <br /> rted (2400 hrs) <br /> Purge Equipment Sampling Equipment iled <br /> (2400 hrs) <br /> Disposable Bader Disposable Bailer Product it <br /> Stainless Steel Bader Pressure Bader Water <br /> Stack Pump Discrete Bader rbon ThicknessSuction Pump Other onfirmation/Descnplion <br /> Grundfos r/Absorbent Sods(circle one) <br /> Other moved tram Skimmer gal <br /> moved from Well gal <br /> Product Transferred to <br /> Start Time (purge) _l yOU Weather Conditions tf:�/%o vw <br /> Sample Time/Date Water Color -- &.,- Odor <br /> Purging Flaw Rate gP T Sediment Description <br /> Did well de-watery If yes,Time Volume -- gal <br /> Time Volume H Conductivity Te lure DO ORP <br /> (2400 hr) (gal) p (umhos/cm) (mg/L) <br /> (mV) <br /> LABORATORY INFORMATION <br /> SAMPLE ID - - {#)CONTAINER REFRIG PRESERV TYPE LABORATORY-- -- -- ANALYSES - <br /> MW- x voa vial YES HCL SEQUOIA TPH-CdBTEX/MTBE(8260)/ <br /> 8 Oxy's(8260) <br /> 3 x voa vial YES HCL SEQUOIA Tertiary-butyl formate,Tertiary-butyl <br /> acetate,Acetone(8260) <br /> COMMENTS' <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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