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ARCHIVED REPORTS XR0003346
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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2705
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3500 - Local Oversight Program
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PR0544595
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ARCHIVED REPORTS XR0003346
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Entry Properties
Last modified
6/24/2019 12:42:45 PM
Creation date
6/24/2019 10:50:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003346
RECORD_ID
PR0544595
PE
3528
FACILITY_ID
FA0002048
FACILITY_NAME
TESORO (Shell) 68221(WRR 6290)
STREET_NUMBER
2705
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12121008
CURRENT_STATUS
02
SITE_LOCATION
2705 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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i • S� <br /> l� t ■ � <br /> $n eerie Inc- GROUNDWATER PURGE AND SAMPLE <br />' Protect Name Exxon 7-3708 Well No tA�t 1-1 Date A <br /> ' '. t <br /> rotect No UP3708 1 Personnel <br />' GAUGING DATA <br /> Water Level Measuring Method W M 1 IP Measuring Point Description TOC <br /> 2 4 6 <br /> n D4 0 16 054 144 <br />' PURGING DATA <br /> Purge Method �A� T�-ER�/BAILER/SUB GPM } <br /> �r <br /> Comments/Observbations <br />' SAMPLING DATA <br /> Time Sampled Approximate Depth to Water During Sampling (feef) <br /> Comments <br /> Irk <br /> Voa HCL 40 ml TPH-9 5TEX ""rse <br /> Total Purge Volume ?� (gallons) Disposal ROMIC <br />' Weather Conditions r� BOLTS N <br /> Y / <br /> Condition of Well Box and Casing at Time of Sampling el CAP& LOCK Y N <br /> / <br /> Well Head Conditions Requiring Correction �s�-"��� GROUT Y / N <br /> t Problems Encountered During Purging and Sampling WELLBOX (Y / N <br /> Comments SECURED Y - 1 N <br /> I'm r"F FvfMXU <br /> 1 <br />
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