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ARCHIVED REPORTS XR0003474
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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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 k <br /> SHELL WELL MONITORING DATA SHEET <br /> BTS # Q LI 10(0'ZZ- Site <br /> Sampler: %,G 5 Date• la _ Z Z b <br /> Well I D ViiAL,.j Well Diameter 2 3 (9"> d $ <br /> Total Well Depth (TD) �, Depth to Water (DTW)� <br /> Depth to Free Product Thickness of Free Product (feet): <br /> Referenced to C Grade D.O Meter (if req'd) YSI HACH <br /> DTW with SO% Recharge [(Height of Water Column x 0 20) + DTWI -I <br /> Purge Method Batter Waterra Sampling Method Bailerl/ <br /> Disposable Bailer Peristaltic Disposable Bailer <br /> Postive Air Displacement Extraction Pump Extraction Port <br /> Electric Submersible •/ other Dedicated Tubing <br /> Other <br /> WeII D ametcr hIRW21rer Weil Diameter Mulorgicr <br /> r 1" 0 D4 4` 065 <br /> EP (Gals)X 3 = f a. Gals z" OIG 6- 147 <br /> I Case Volume Specified Volumes Calculated Volume 3' 037 other radius''0 163 <br /> Cond Turbidity <br /> Time Temp (°r} pH (mS or (NTUs) Gals Removed Observations • <br /> Did well dewater? Yes Gallons actually evacuated <br /> t31 . a <br /> Sampling Date �- ZZ-� Sampling Ttme 3 d a Depth to Water . <br /> Sample I D . Laboi atory T SPL other <br /> ---- <br /> Analyzed for TPII G IITE\ aE TrII-D OW, 12 DCA EDD Other <br /> EB I D (if applicable). @ Time Duplicate I D (if applicable) <br /> Analyzed fol.- TPH-G BTEX MTBE IPH-D Other <br /> DO (if req'd) Pre-purge mg/L Post-purge msuL <br /> O.R 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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