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ARCHIVED REPORTS_XR0011771
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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F
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F
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5491
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3500 - Local Oversight Program
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PR0545028
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ARCHIVED REPORTS_XR0011771
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Entry Properties
Last modified
12/6/2019 5:03:26 PM
Creation date
12/6/2019 3:30:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011771
RECORD_ID
PR0545028
PE
3528
FACILITY_ID
FA0003919
FACILITY_NAME
VAN DE POL ENTERPRISES
STREET_NUMBER
5491
STREET_NAME
F
STREET_TYPE
ST
City
BANTA
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
5491 F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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i <br /> AMU <br /> SAMPLING INFORMATION SHEET ' <br /> Client: 1MCC LL ��;`fir LS i Project No: 6,C, ! <br /> Site: <br /> Well Designation: <br /> f . <br /> Purging Equipment: ---"�2" PVC bailer <br /> Submersible pump <br /> 4" PVC bailer Dedicated bailer <br /> Sampled wi disposal_bailer or other: <br /> Well recharged to 80% recovery. \4 � 5 <br /> Well Diameter: 2" ✓ 3" " fi" <br /> 4 8 <br /> Purge Vol. Multiplier: 0.763 0.367 0.653 7.47 2.67 <br /> gal/ft. <br /> Depth of well: Z.L Calculated purge; �1�L <br /> Depth to water: l 1 , Actual purge: �,�L <br /> rte: <br /> u <br /> p 9 '� Sampling time: :.i ..� � :�, Sampling Date: <br /> Time Temp. E.C. pH Turbidity Volume <br /> Sample appearance: c'Lou <br /> f QC samples collected at this well: Lock: C�i <br /> Remarks: <br /> I <br /> Signature �C Review <br /> ! <br /> i <br />
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