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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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VETTLER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> ClienVFacility# Tosco #11192 Job Number 180288 <br /> Site Address 1403 Country Club Blvd. Event Date 11115-110V (Inclusive) <br /> City Stockton, CA Sampler r <br /> Well ID W- / Date Monitored l� l pZ Well Condition <br /> Well Diameter 2 4 in <br /> Volume 314"=0 02 1'=404 2"=0 17 3'=0 38 <br /> Total Depth ft Factor(VF) 4'=0 66 5"= 1 02 6"= 1 50 12"= 15 80 <br /> Depth to Water /% 3 It <br /> xVF V ��• 3y x3(case volume)=Estimated Purge Volume gal <br /> Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment Time Bailed (2400 hrs) <br /> Disposable Bailer Disposable Bader Depth to Product ft <br /> Stainless Steel Bader Z Pressure Bader Depth to Water <br /> Stack Pump Discrete Bailer Hydrocarbon Thickness ft <br /> Suction Pump Other Visual ConfirmationlDescnption <br /> Grundfos Skimmer 1 Absorbent Sock(circle one) <br /> Other Amt Removed from Skimmer gal <br /> Amt Removed from Well gal <br /> Product Transferred to <br /> ,Start Time (purge) Weather Conditions � <br /> Sample Time/Date /S/O I i�s/oZ Water Color GL Odor <br /> Purging Flow Rate 7--- gpmT11 Sediment Description ` <br /> Did well de-water9 !flG If yes, Time "` Volume gal <br /> Time Volume H Conductivity Temperature D O ORP <br /> (2400 hr) (gal} p (umhos/cm) (F) (mglL) (mv) <br /> L;erp zv -- d z 3 <br /> dt <br /> LABORATORY INFORMATION <br /> SAMPLE ID - - -(#)CONTAINER- REFRIG— PRESERV TYPE LABORATORY- — - --ANALYSES - <br /> MW- x voa vial YES HCL SEQUOIA TPH-G/BTEX/MTBE(8260)/ <br /> 8 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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