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ARCHIVED REPORTS XR0003551
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 XR0003551
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Entry Properties
Last modified
6/21/2019 9:02:58 PM
Creation date
6/21/2019 4:27:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003551
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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EQUIVA WELL MONITORING DATA SHEET <br /> BTS # Site► <br /> Sampler Z) 5 Date. �9e10 <br /> Well I.D ; mow_ 7, Well Diameter (D 3 4 b 8 <br /> Total Well Depth g .aiDepth to Water g , S <br /> Depth to Free Product Thickness of Free Product(feet) <br /> Referenced to Grade ID O Meter (if req'd) YSI HACH <br /> Purge Method Sampling Method Bader V"— <br /> Bailef ./� Waterra Disposable Bailer <br /> Disposable Basler Peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Electric Submersible Other Other <br /> )YdIDiameter Mult3a11er Well Diameter Multiplier <br /> Q 1" 004 4" 06S <br /> v <br /> _(Gals)X Gals— . 4/ Z" 0 16 6" 1 47 <br /> 1 Case Volume S ecified Volumes Calculated Volume 3" 037 Other radiu52•0 E63 <br /> Time Temp (°F) pH Cond Turbidity Gals Removed Observations <br /> 73_ l r7 S S601'7 > vav Z <br /> ,7 70o 7gl 3dr-e > � <br /> �3r9C", '7' 3 3d7s- <br /> Did well dewater? Yes Gallons actually evacuated . u <br /> Sampling Time /,SSS Sampling Date Ids <br /> Sample I D.: �ef,�- Laboratory <Sequo Columbia Other <br /> Analyzed for TPH-G BTEX MTB TPH-D Other <br /> EB LD (if applicable): @ rlme Duplicate I.D (if applicable) <br /> Analyzed for- TPH-G BTEX MTBE TPH-D Other <br /> D O. (if req'd) Pre-purge mg/L Post-purge mg�L <br /> O.R.P (if req'd)- Pre-purge mV Post-purge rn <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 0 <br />
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