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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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6ETTLER - RYA N INC. <br /> A& WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# Tosco #11192 Job Number 180288 <br /> Site Address 1403 Country Club Blvd. Event Date (inclusive) <br /> City Stockton, CA Sampler rj�s,�,dl�il <br /> Well ID MW-� I2 Date Monitored / az Well Condition <br /> Well Diameter / 4 in <br /> Total Depth 5� ft Volume 3r4"=o 02 t"=o oa 2•=0 17 3•�0 3e <br /> Factor(VF} 4"=0 66 5"=1 02 6•p 1 50 12' 5 80 <br /> Depth to Water y. ft <br /> f fs <br /> -7— x3_ � x3(case volumey= Estimated Purge Volume ` gal <br /> I <br /> Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment Time Bailed (2400 hrs) <br /> Disposable Bailer Disposable Bailer Depth to Product h <br /> Stainless Steel Bailer Pressure Bailer Depth to Water' <br /> Stack Pump Discrete Bailer Hydrocarbon Thickness It <br /> Suction Pump Other Visual ConfirmatiordDescnption <br /> Grundfos Skimmer 1 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) _ 2fSWeather Conditions <br /> Sample Time/Date /PBZ Water Color Odor o <br /> Purging Flow Rate Z gerd Sediment Description - ' <br /> Did well de-water'salo If yes,Time Volume gal <br /> Time Volume Conductivity Temperature D O ORP <br /> (2400 hr) (gal} pH (umhos/cm) (CIF) (mgtL) (mV) <br /> O 33 z as 97 <br /> LABORATORY INFORMATION <br /> SAMPLE ID {1i)CONTAINER REFRIG PRESERV TYPE I LABORATORY ANALYSES <br /> MW x voa vial YES HCL SEQUOIA TPH-CdBTEX/MTBE(8260)/ <br /> 8 Oxy's(8260) <br /> x voa vial YES HCL SEQUOIA Tertiary-butyl formate,Teniary-butyl <br /> acetate,Acetone(8260) <br /> COMMENTS <br /> • <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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