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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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EHD - Public
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SHELL WELL MONITORING DATA SHEET <br /> Protect #: 9804 Z3 ' s l WIC #: Zoq -75�q 35D <br /> Sampler: Dou ( - d' V(A�— Date: s( -Z3 —`'8 <br /> Well LD : 4A RRO Well Diameter: 8-5- <br /> Total <br /> 5-Total Well Depth: -- Depth to Water. r <br /> Depth to Free Product: Thickness of Free Product (feet). <br /> Referenced to: PVC Grade D.O. Meter (if req'd): YSI HACH <br /> Well Dtametes Multiplier R7ell Diameter Multinli� <br /> 2" 016 5" 102 <br /> 3" 037 6" 147 <br /> 4" 065 Other radius'*0 163 <br /> Purge Method Bailer Sampling Method Bailer <br /> MiddleburgExtraction Part <br /> Electnc Submersible Other- <br /> Extraction <br /> therExtraction Pump <br /> Other <br /> X — r Gals <br /> 1 Case Volume(Gals} Specified Volumes Calculated Volume <br /> Time Temp (°F) pH Cond. Turbidity Gals Removed Observations <br /> a.,0(e d <br /> 6 <br /> Did well dewater? Yes o Gallons actually evacuated: <br /> Sampling Time: o$ qd Sampling Date: —Z,3 -qg <br /> Sample I D : Zg5-4 CC- Laboratory: Oa cola Crosby <br /> Analyzed for: &7-DG TEx E TPH-D Ocher 6 e �t� s BzL H o 4' xY;6no f <br /> Equipment Blank I.D.: @ Tie Duplicate I.D.: <br /> Analyzed for: TPH-G BTEX MTBE TPH-D Other: <br /> D.O. (if req'd): Pre-purge ve Post-purge / <br />
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