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ARCHIVED REPORTS_XR0002244
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545205
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ARCHIVED REPORTS_XR0002244
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Entry Properties
Last modified
1/27/2020 3:42:11 PM
Creation date
1/27/2020 3:21:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002244
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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!f quascience <br /> ■W <br /> E --W-W i eery Inc <br /> WELL SAMPLING FIELD LQG <br /> Project Name and Address: �""-n0 61,1060 <br /> Job #: 2-:5Date of sampling: r z1 Ut <br /> Well Name: <br /> Sampled by: _F <br /> I� Total depth of well (feet): , 7 Well diameter <br /> (inches): <br /> to water before sampling <br /> (feet): 5�3_7 <br /> j Thickness of floating product if any: – <br /> F Depth of well casing in water (feet): IL <br /> Number of gallons per well casing volume (gallons): OL <br /> Number of well casing volumes to be removed:_._ � —_ <br /> of volume' <br /> ! d <br /> Re groundwater to be� q g purged before sampling (gallons): -7 _ <br /> Equipment used to purge the well: a. of <br /> Time Evacuation Began: �� U — <br /> # g Time Evacuation Finished:_12,06 <br /> f Approximate volume of groundwater purged: 7 <br /> Did the well go dry?: /2U After how many gallons: <br /> Time samples were collected: 17-Os <br /> Depth to water at time of sampling: <br /> Percent recovery at time of sampling: <br /> Samples collected- with: b�. el' — — <br /> Sample color: 61e-ef /`'�dn_ Odor:lfr4 �f <br /> IDescription of sediment in sample: S%-A <br /> E <br /> CHEMICAL DATA <br /> Volume Purged Temn pH <br /> Conductivity <br /> 10_0 A- 1'113 _- <br /> f� g,q <br /> i� SAMPLES COLLECTED <br /> Sample #_of containers volume & t pe container Pres Iced? Analysis <br /> 208 W. -E! Pintodd,Donville, California 94526 u925-820-9391-'°- Fax 925-837-4853" <br /> i� <br /> ,s <br />
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