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ARCHIVED REPORTS_XR0002054
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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HAMMER
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1210
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3500 - Local Oversight Program
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PR0545245
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ARCHIVED REPORTS_XR0002054
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Entry Properties
Last modified
1/30/2020 11:55:57 AM
Creation date
1/30/2020 10:53:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002054
RECORD_ID
PR0545245
PE
3528
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
02
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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DOULOS ENVIRONMENTAL vIMPANY SAP', ANG INFORMATION SHEET <br /> Client: Ultramar RiaLuond Shamrock Sampling Date: <br /> Site: Beacon 1641 Project No. : 98-641-01 <br /> 210 East Hammer Lane Well Designation: <br /> StocktoD. CA <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well box? O) YES Above TOC Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked? NO E If no, see remarks <br /> Height of well casing riser (in inches) : 1BK � <br /> Well cover type: 8" UV_ 12" W 2++ EMCO 8++ <br /> 12" BK 12" DWP 12++ CNI 3611 CNI__ herFair Poor <br /> General condition of wellhead assembly: Excellent Goo <br /> 2" disposable bailer „rSubmersible pump <br /> Purging Equipment: <br /> 211 PVC bailer Dedicated bailer <br /> 4" PVC bailer X Centrifugal pump <br /> Sampled with: Disposable bailer: '/' Teflon bailer: <br /> �i +� n <br /> Well Diameter: 2" ' 4 6�� g <br /> OPurge Vol. Multiplier: 0. 16 0. 65 1.47 2 . 61 gal/ft. <br /> xritial Measurement Rechar a Measurement Calculated purge <br /> Time: Time: 6 Actual purge:_6A_ <br /> Depth of well:� Jr <br /> L4, '_ Depth to water. <br /> Depth to water: <br /> Start purge: Sampling time: 6 t. <br /> Time Temp. E.C. pH Turbidity Volume <br /> ; D 1 70, -7 <br /> 6 z 7 )" 1 12. i�_o -7 <br /> 605 740 <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> Lock #3753 • <br /> 2" Locking Cap: 7/32 Allenhead:g <br /> 4" Locking Cap: Lock-Dolphin: /16 Bolt: <br /> 61+ Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> i <br /> Signature: <br />
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