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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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574
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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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�r 4 <br /> V d�qucisclence <br /> C� <br /> WELL SAMPLING FIELD LOG <br /> I: <br /> Project Name and Address: <br /> Job #: 32,5 Y Date of sampling: a� <br /> q'�f-3ir2 _-------- M <br /> Well Name: ✓t�4 -3 __ Sampled by: __5 ----------------- <br /> Total <br /> ______–__Total depth of well (feet): 1 � Well diameter (inches): <br /> Depth to water before sampling (feet): _ ------ <br /> Thickness <br /> __Thickness of floating product if any: — ----------- – i <br /> Depth of well casing in water (feet): --lU51_______ _ <br /> Number of gallons per well casing volume (gallons): /,/ _ I <br />'4 Number of well casing volumes to be removed:_____ ______4–__ __ __ <br /> Req'd volume of groundwater to be p rged before sampling (gallons): __ l <br /> Equipment used to purge the well: ;ley _ <br /> Time Evacuation Began:_1 '>f S� – Time Evacuation Finished l Yas - <br /> -_---- <br /> E Approximate volume of groundwater purged: <br /> Did the well go dry?: After how many gallons:__-_ <br /> Time samples were collected:- <br /> 1V0 <br /> ---------------------- <br /> Depth to water at time of sampling:—_------------------------------ <br /> Percent <br /> __-- – <br /> Percent recovery at time of sampling:--____ <br /> -Samples collected with: <br /> Sample color: _�YC4 ./�! _ _ Odorft–_ --- <br /> Description of sedim nt in sample:– So/� __ <br /> --- ---------------- ---------- <br /> CHEMICAL DATA j <br /> i <br /> Volume Purged TV_Mp Conductivity <br /> 00 <br /> ------- 63-1 <br /> SAMPLES COLLECTED <br /> Sam # of containers Volume & LVpe container Pres Iced? Analysis <br /> A-3 Ya <br /> ------ ---------- <br /> ------- -- ----- --------- ------- 1 <br /> _ I <br /> r J <br />
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