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ARCHIVED REPORTS XR0003375
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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2725
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3500 - Local Oversight Program
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PR0544596
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ARCHIVED REPORTS XR0003375
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Last modified
6/24/2019 2:01:46 PM
Creation date
6/24/2019 1:39:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003375
RECORD_ID
PR0544596
PE
3528
FACILITY_ID
FA0002064
FACILITY_NAME
7-ELEVEN INC. STORE #14117
STREET_NUMBER
2725
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2725 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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JOB NAME 7-Eleven Store#14117 JOB NUMBER 77EL 14117 03 0702 <br /> SITE ADDRESS 2725 Country Club Lane START DATE _/* 0') <br /> Stockton, CA DATE PREPARED 9/16/03 <br /> PREPARED FOR Tom Miller PREPARED BY Brian Care <br /> : ___ W-0R�S�S�Uffi <br /> FORM <br /> SCOPE OF WORK 3rd QUARTER 2003 MON!'f -VAhD"M'W' E� "1 — <br /> 1 Arrive at site-Review 1 HASP, 2 work order,then call Brian Carey in Sacramento <br /> Check in with 7-Eleven store manager Store Phone 209 463-1259 Franchisee Satrnder <br /> 2 Oen all wells shown on attached table and let groundwater levels equilibrate DTW should be 9 feet+or- <br /> a Monitor DTW, DTB, PT, and DO in the wells shown on attached table(Top of Casin <br /> Note calibration readings for D O meter and take D O readings in bucket with a stated water <br /> Note if any wells have measurable thickness of product, visually inspect with bailer <br /> Clean to Dirty Order Is Shown on Groundwater Gauging-Form <br /> 4 Using a Grundfos Pum2 system, purge three casing volumes of water per well <br /> Measure&record pH, conductivity, and tem erature of the purged water from all wells <br /> 5 Collect three 3 40-m1 preserved VOAs from each sampled well BTEX,TPHq &5 Oxygenates <br /> EPA Method 8260B <br /> 8 Place all ur a water in 55 allon drums and store onsite Be sure to properly label dF-fjrums <br /> /r}�7H / <br /> Note contents of drums on field notes Note location of drums on attached site ma <br /> 9 Fill out COC and request EPA 8260E on"Standard Turnaround" <br /> 10 Deliver all samples to Kiff Analytic 1 2795 2nd Street,Suite 300,Davis,CA 95616 <br /> 530 297,4800 <br /> 1Call Jaff Auchterlonie in Sacramento before you leave the site <br /> 12 Fill Out Equipment BL Sheet for all equipment used on the iob and attach with field notes <br /> 13 Give copies of all notes and COC's to Brian arey, ASAP <br /> 14 Bill Travel time to 77EL f4117 03 0711 <br /> Bill labor time to 77EL 14117 03 0702 max 7 hours onsite labor <br /> E UfPMEIdT NEEIDED - - <br /> Health&Safety Site Plan -- <br /> 24-40 ml preserved NCI VOAs bnng extra containers and cooler with ice <br /> Grunfos Pump System, H/Tem /Cond Meter, DO Meter, Disposable Bailers, COC's,drum labels, etc <br /> 1/2",9/16', and 15/16"sockets, and other mist tools <br /> TWO 65-gallon drums <br /> Direct all uestions to Jaff Auchterlorne, 916 861-0400 ext 223-office --- �-- — -- <br /> PROJECT MANAGER,JaffAuchterlonie AUTHORIZATION <br /> Fde Ca UrY/WorkOrtledC8-M83-3)12 <br />
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