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ARCHIVED REPORTS XR0006605
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 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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GETTLER - RYA N INC. <br /> WELL MONITORING/SAMPLING 0 <br /> FIELD DATA SHEET ' <br /> Client/Facility # Tosco #11192 Job Number 180288 <br /> Site Address 1403 Country Club Blvd. Event Date DZ (inclusive) <br /> City Stockton, CA Sampler , <br /> Well ID AAW-Ah 4 Date Monitored ZIZZpZ Well Condition - r <br /> Well Diameter 2)/ 4 in <br /> Volume 314 0 02 1'-0 04 2'=0 17 3"=0 38 <br /> Total Depth _ .$ r ft Factor(VF) 4"=0 66 s"=1 02 6•= 1 50 12•= s 80 <br /> Depth to Water /Sad ft <br /> xVF Z __ Z x3(case volume)= Estimated Purge Volume gal <br /> Time Started (2400 hrs} <br /> Purge Equipment Sampling Equipment <br /> Time Bailed 12400 hrs) <br /> Disposable Bailer Disposable Bailer Depth to Product <br /> Stainless Steel Bailer Pressure Bailer Depth to Water <br /> Stack Pump Discrete Bailer Hydrocarbon Thickness ft <br /> Suction Pump Other <br /> Visual Confirmation/Description <br /> Grundfos Skimmer I Absorbant Sock(circle one) <br /> Other Amt Removed from Skimmer gal <br /> Am!Removed from Well gal <br /> Product Transferred to <br /> Start Time (purge) -V-0 Weather Conditions <br /> Sample Time/Date Z/ I/ spy Water Color Odor <br /> Purging Flow Rate 7. Sediment Description <br /> Did well de-water9 rUil It yes,Time -"' Volume gal <br /> Time Volume Conductivity Temperature D O ORP <br /> (2400 hr} (gal) pH (umhos/cm) (CIF) (mg1L) (mV) <br /> 7-dap <br /> pz� za 1� 3y 2a <br /> LABORATORY INFORMATION <br /> SAMPLE ID _ (tl)CONTAINER-- -REFRIG -PRESERV TYPE --LABORATORY - ANALYSES <br /> M S x voa vial YES HCL SEQUOIA TPH-G/BTEX/MTBE(8260)I <br /> B Oxy's(8260) <br /> 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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