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ARCHIVED REPORTS XR0003474
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2575
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2900 - Site Mitigation Program
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PR0541989
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ARCHIVED REPORTS XR0003474
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Last modified
6/21/2019 9:32:16 PM
Creation date
6/21/2019 3:36:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003474
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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I <br /> SHELL WELL MONITORING DATA SHEET <br /> BTS # Site 8� <br /> Sampler Date 7 <br /> Well l D Well Diameter 2 3 6 8 <br /> Total Well Depth (TD) Depth to Water (DTW) . S <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced toPVC Grade DO Meter (if req'd) vsl HACH <br /> DTW with 80% Rccliaige [(Height of Water Column 1 0 20) + DTW] / <br /> 19 <br /> Purge Mohod Baiter Waterra Sampling Method '`Bailer <br /> Disposable Bailer Peristaltic Disposable Baiter <br /> Positive Air Displacement Extraction Pump Extraction Port <br /> ,t4ectric Submersible Other Dedicated Tubing <br /> Other <br /> Woll Diameter ult ter Well bi metu Mtjfh iIIu <br /> c 1" 00.1 4" 06S <br /> (Gals) X = _7 2. J Gals Z" 016 6" 147 <br /> 1 Case Volume Specified Volumes Calculated Volume 3" 037 Other radutsi•0 163 <br /> Cond Turbidity <br /> Time Temp(°F) pH (mS a LS (NTUs) Gals Removed Observations <br /> Il 3 ? <br /> ;>toe,C'.) ate- <br /> 1L -o .ce- I y!Doo 3D <br /> Did well dewater? Yes Gallons actually evacuated <br /> Sampling Date 7 f� D Sarnpling Time /3/ Depth to Water <br /> . z <br /> Sample LD S. Laboratoiy TD SSPL Other <br /> Analyzedfor rit c i K nir��,1�H n o�y z ria Other <br /> EB I D (if applicable) " riente Duplicate h D (if applicable) <br /> Analyzed for Ti'H c QTEN MTnc 'I PH o otys 11 nen t:oo Other <br /> D.O (if req'd) Pie-purge ntg/L Post-purge <br /> OR P (if req'd) Pre-purge mV Post-purge =MV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (800) 545-7558 <br />
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