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ARCHIVED REPORTS XR0003741
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 XR0003741
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Entry Properties
Last modified
6/21/2019 9:04:10 PM
Creation date
6/21/2019 4:37:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003741
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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SJGOV\wng
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EHD - Public
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SHELL WELL MONITORING DATA SHEET <br /> Project #: TS cq 23—S I WIC #. Zpq 7 S71- 35M37 <br /> Sampler: 'DOJ G- -{" a Date: `�-Z3 `I'd - <br /> Well I.D : MW — <br /> Well Diameter: 20 3 4 6 g <br /> Total Well Depth:p M39 Depth to Water: <br /> Depth to Free Product: Thickness of Free Product (feet): <br /> Referenced to: Pvc Grade D.O. Meter (if req'd): YSI -HACH <br /> H& Diameter1_V( 1[f4ltcr Nvell Lhameterr <br /> 2- 0.16 5" 102 <br /> 3- 037 6- 147 <br /> 4- 065 Ocher radms2.0163 <br /> Purge Method Bailer ✓ Sampling Method Bailer <br /> Middleburg Extraction Port <br /> Electnc Submersible Other <br /> Extraction Pump <br /> Other <br /> X -- S Gals <br /> 1 Case Volume(Gals) Specified Volumes Calculated Volume <br /> Tune Temp (OF) pH Cond. Turbldlty Gals. Removed Observations f <br /> Did well dewater? Yes No Gallons actually evacuated: <br /> Sampling Time: [l ZSampling Date: �f-Z3 -y <br /> Sample I D.: MW Laboratory: Sequoia Crosby <br /> Analyzed for: H-G B MTB TPx-D cher• Dx q• �4 �7 8 Z&,o <br /> Equipment Blank Y.D.: @ rx" Duplicate LD : <br /> Analyzed for: TPH-G BTEX MTBE TPH-D Other- <br /> D.O. (if req'd): Pre-purge -9/ Post-purge• <br />
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