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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 # v fn Site lirLl <br /> Sampler V�&y-S Date (a ^ & L4 <br /> Well I D d , m &vt. (ZtA57- Well Diameter 2 3 6 8 <br /> Total Well Depth (TD) Depth to Water (DTW) <br /> Depth to Free Product Thickness of Free Product (feet)- <br /> Referenced to 65 Grade DO Meter (if req'd): vSI HACI I <br /> DTW with 80% Recharge [(Height of Water Column x 0.20) + DTW]: <br /> Purge Method Bai VG terra Sampling Method Bailer <br /> Dispo ble Bailer Pcrist Itic Disposable Bailer <br /> Posuv Air Displacement Extraction P p Extraction Port c/ <br /> Electri Submersible 011ier Dedicated Tubing <br /> Other <br /> Wt E)LIMCWr MUM her Well Diameter Mului leer <br /> t" 004 4" 065 <br /> (Vials)X �^ _ — Gals '- 0 16 G" 1 47 <br /> 1 Case Volume S ecified Volumes Calculated Volume ]� fl37 Oiher rad�as2•o i6] <br /> Cond Turbidity <br /> Aft Time Temp(°F) PH (mS or 9V (NTUs) Gals Removed Observations <br /> 1 V 4 83 f s & <br /> Did well dewater? Gallons actually evacuated <br /> Sampling Date (p _2-Z_c! Sampling Time Depth to Water 13 ,Z <br /> Sample I D C-;L`A S-2— Laboratory TL SPL other <br /> Analyzed for THI G JIM, M Pii-b 0XI's 1,2-DCA EDS Other <br /> EB I D (if applicable) Q 71111C Duplicate I D (if applicable) <br /> Analyzed for TP11-G 13TEX MTBE TPH-D Other <br /> DO (if req'd) Pre-purge m6/t. Post-purge <br /> O P P (if req'd) Pre-purge mV Post-purge mV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (800) 5457558 <br />
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