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ARCHIVED REPORTS XR0006972
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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103
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3500 - Local Oversight Program
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PR0544638
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ARCHIVED REPORTS XR0006972
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Entry Properties
Last modified
7/9/2019 3:11:02 PM
Creation date
7/9/2019 2:15:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006972
RECORD_ID
PR0544638
PE
3528
FACILITY_ID
FA0004027
FACILITY_NAME
HENDRIX FORK LIFT INC
STREET_NUMBER
103
Direction
N
STREET_NAME
E
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15318001
CURRENT_STATUS
02
SITE_LOCATION
103 N E ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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• WATER SAMPLE FIELD DATA SHEET Rev- 1/9 <br /> PROJECT NO: Ld RC --062- Dal SAMPLE ID: AU-41, —I <br /> PURGED BY : , 1.,��eylog CLIENT NAME. <br /> O�rY <br /> {� <br /> 1 SAMPLED BY : LOCATION:. �&C- <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 l/ 4.5 6 Other <br /> CASING ELEVATION(feet/MSL): VOLUME IN CASING(gal.): <br /> DEPTH OF WELL(feet)-_ '77.*' CALCULATED PURGE(gal.):_6 ILI - <br /> DEPTH TO WATER(feet): t{q . `7 2 ACTUAL PURGE VOL. (gal.): �, CZ <br /> DATE PURGED:_ ;3 `(-7 -XZ END PURGE: <br /> DATE SAMPLED: GL SAMPLING TIME. <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gat.) (units) (pmhoslem025°0 F) (visual) tvisual) <br /> t 5dZ <br /> OTHER: l �.. ODOR: <br /> (COBALT 0-1DO) (NT6 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1.XDUP-I): <br /> PIMONQ EQUIPMENT SAMELING EQUIPMENT <br /> 2-Bladder Pump Bailer(Teflon) ?'Bladder Pump L--'Bailcr(Teflon# <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainiess Steel) <br /> &o`5ubmerstbie Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard6 Dedirared Well Wizard0 Dedicated <br /> Other: Other_ <br /> WELL INTEGRITY: (ve, LOCK: <br /> REMARKS: ,[ 32-0 <br /> Vbvje `�► r <br /> 3 4T <br /> PH.E.C..Temp.MC[er Calibration: Dare: SA,_ Time:L,.4_�s_y me: Mew Seriaf No.: <br /> E.C. 1000 r pH 7 / <br /> PH 10 / pH 4 I <br /> Temparatme'F r� '(? <br /> SIGNATURE. _ 50 REVIEWED BY: PAGE OF�_ <br />
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