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ARCHIVED REPORTS_XR0002241
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRANT LINE
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3500 - Local Oversight Program
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PR0545205
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ARCHIVED REPORTS_XR0002241
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Entry Properties
Last modified
1/27/2020 3:47:34 PM
Creation date
1/27/2020 3:19:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002241
RECORD_ID
PR0545205
PE
3528
FACILITY_ID
FA0003164
FACILITY_NAME
NORTH POLE GAS & FOOD INC
STREET_NUMBER
574
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
574 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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1 <br /> Y <br /> 4aquq science <br /> WELL SAMPLING FIELD LOG <br /> Project Name and Address: <br /> - ----- --------- _-------------- <br /> Job 325 Y Date of sampling: -- <br /> Well Name: t�!4✓-_Z _______ Sampled by: __CIO _______ <br /> Total depth of well (feet): 1 -3 -� Well diameter (inches): <br /> Depth to water before sampling (feet): 4�77 <br /> Thickness of floating product if any: __- ------------------------------ i <br /> Depth of well casing in water (feet): `---- <br /> Number of gallons per well casing volume (gallons):-_� <br /> ---- - <br /> Number of well casing volumes to be removed:__3_ ------------------ <br /> ____ _______ __ ___ i <br /> Req'd volume of groundwater to be .purged before sampling_(gallons): 3_ _ <br /> Equipment used to purge the well:_1L' �.(-------------- _ _ _ _ <br /> Time Evacuation Began:_-'13 - Time Evacuation_Finished fS <br /> Approximate volume of groundwater purged: <br /> k <br /> Did the well go dry?:_/!/61 W_� After how many gallons:--"'___ <br /> Time samples were collected.__� Ir� <br /> -------------------------------- <br /> Depth to water at time of sampling:-_ A�___Y______ �__ <br /> Percent recovery at time of sampling:---------------------------------- <br /> Samples <br /> -___ ____------------------------- <br /> Samples collected wit :_-� _ <br /> Sample color: ��Edrl .��.!v�----- Odor: ------ ----------- <br /> ..................... <br /> Description of sedit ent in sample:--_ <br /> CHEMICAL DATA <br /> j <br /> volume Purled Temp ConducLivit <br /> ==-3 -------- Of_ - <br /> -_ i'7. ----- <br /> -- --------- ---- <br /> ----- <br /> J <br /> SAMPLES COLLECTED <br /> Sample # of CMILainers Volume i / <br /> & t e container Pres Iced Analysis <br /> .W 1 t n 1 <br /> ---- ---- -- —_ — <br /> ----- --- ----- ------------------- <br /> ----- <br /> --- <br /> --- -- ----------- ------------------ —__ t <br /> ------------------- <br /> ------ <br /> ------ --------- ----------------- --- ----- ------ ------ ---- <br /> ------ ---------- -------- <br /> C <br />
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