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ARCHIVED REPORTS_XR0005414
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545495
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ARCHIVED REPORTS_XR0005414
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Last modified
3/13/2020 7:18:33 AM
Creation date
3/10/2020 4:43:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005414
RECORD_ID
PR0545495
PE
3528
FACILITY_ID
FA0006423
FACILITY_NAME
STOCKTON MOBIL 2
STREET_NUMBER
3440
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
3440 E MAIN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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5 <br /> DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION jSHEET <br /> Sampling <br /> Client: Ultramar Sam P 9 <br /> Site: Beacon 474 Project No. : 94-474-01 <br /> 3440 E. Main Street Well Designation: MW- � - <br /> Stockton CA <br /> Is setup of traffic control devices required. YES time: hours <br /> Is there standing water in well box? ES Above TOC Below TOC <br /> Is top of casing cut level? - NO C� If no, see remarks <br /> Is well cap sealed and locked? _ NO If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV12" UV� 12" EMCO 8" BK <br /> 12" BK 12" DWP 1211 CNI 36" CNI Other <br /> General condition of wellhead assembly: Excellent Fair Poor <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer <br /> _Centrifugal pump <br /> Sampled with: Disposal bailer Teflon bailer: <br /> Well Diameter: 21 4" grr 811 <br /> Purge Vol. Multiplier: 0 . 16 0. 65 1. 47 2 . 61 gal/ft. <br /> . Initial Measurement Recharge -Measurement <br /> Time: r? Time: / _10 R' Calculated purge: c <br /> Depth of well: -2 a Depth to water. �� ' y� Actual purge: <br /> Depth to water: S '7• c7 <br /> Start purge: 1 . 56 Sampling time: //�q <br /> Time Temp. E.C. pH Turbidity Volume <br /> /043 7�9• 7-35 <br /> r <br /> Sample appearance: GLock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock #3753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: �-!� <br />
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