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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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SHELL WELL MONITORING DATA SKEET <br /> 4B TS #: _ Site /ecl <br /> ampler f� Date- �-„ <br /> Well I.D : �� s Well Diameter. 2 3 4 6 8 <br /> Total Well Depth (TD)- Depth to Water (DTW);��� r e_ eyl 65�f rip aft-, <br /> Depth to Free Product: Thiclmess of Free Product (feet)- <br /> Referenced to PVC Grade D.O Meter (if req'd) Ysl HACH <br /> DTW with 80% Recharge [(Height of Water Column x 0 20) + DTW]: �- <br /> Purge Method Bailer Waterra Sarnplmg Method Batter <br /> Disposable Bailer Peristaltic Disposable Bailer <br /> Positive Air Displacement• Extraction Pump Extraction Port <br /> Electric Subinersible other Dedicated Tubing <br /> Other <br /> Well Diameier Multiplier Weil Diameter Mut flet <br /> 1. 004 4" 063 <br /> (Gals)X = Gals 2.P 016 6" 147 <br /> I Case Volume Specified Volues Calculated Volume 3' 37 Other rssdtus'•0163 <br /> m <br /> Cond Turbidity <br /> Time Temp CF) pH (m5 0(i (NTUs) Gals Removed Observations <br /> V 71 <br /> Did well dewater9 Yes o Gallons actually evacuated ---- <br /> Sampling Date rSampling Time Depth to Water <br /> Sample I D VS& Laboratory Other <br /> Z_ <br /> Analyzed for TPH-G BTEX MTBE TPH-D Oxygenates (5) Other <br /> EB I D (if applicable). @ T, Duplicate I D (if applicable) <br /> Analyzed for- TPH-G BTEX MTBE TPH-D Oxygenates (5) Other <br /> O (if req'd) Pre-purge mg/L Post-purge MS/L <br /> Al� <br /> .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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