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ARCHIVED REPORTS_XR0002056
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_XR0002056
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Entry Properties
Last modified
1/30/2020 11:44:53 AM
Creation date
1/30/2020 10:54:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002056
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 COMPANY SAMPLING I <br /> NFOR <br /> MATION SHEET <br /> Client: Ultramar Diamond Shamrock Sampling Date: <br /> Site: Beacon 641 Project No. : 98-641-01 <br /> �i � UJ - r_ <br /> 1210 East Hammer Lane Well Designation: <br /> Stockton CA <br /> Is setup of traff is control devices required? YES time: hours <br /> Is there standing water in well box? � YES Above TOC Below TOC <br /> Is top of casing cut level? NO Cl If no, see remarks <br /> Is well cap sealed and locked? Ni�� If no, see remarks <br /> Height of well casing riser (in inches) : 12„ EMCO g•' BK <br /> Well cover type: 8" "UV 12UV <br /> �� Other <br /> 12" BK 12" DWP -CNI_�< 36 CNI <br /> General condition of wellheadlt ssembly: Excellent Fair Poor <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 2" PVC bailerDedicated bailer <br /> 4" PvC bailer Centrifugal pump <br /> Sampled with: Disposable bailer: Teflon bailer: <br /> Well Diameter: 2" 4" 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0.65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Rechar a Measu eMent <br /> Time: ;23 O Time: <br /> Calculated purge: ' <br />• Depth of well: � 7 y Depth to water: � 7 Actual purge: 1 �l <br /> Depth to water: <br /> Start purge: Sampling time: " <br /> Time Temp. E.C. pH Turbidity Volume <br /> y 3 6�. <br /> 3 tl5' �'2 - � ��� C' C/ <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note conditi n of replaced item <br /> 2" Locking Cap: ._, _ Lock 13753 :__ 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin:.� 9/16 Bolt.r,_�_ <br /> 6" Locking Cap: Pinned Allenhead (DWP) :�.._ <br /> Remarks: <br /> Signature: <br />
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