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ARCHIVED REPORTS_XR0005416
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545495
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ARCHIVED REPORTS_XR0005416
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Last modified
3/13/2020 7:54:53 AM
Creation date
3/10/2020 4:44:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005416
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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DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: Lq 7 <br /> Site: Beacon 474 Project No. : 94-474-0.1 <br /> 3440 E. Main Street Well Designation: mw-3 A <br /> ti <br /> Stockton CA <br /> Is setup of traffic 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 ITO If no, see remarks <br /> Is ,well cap sealed and locked? NO 3T) If no, see remarks <br /> Height of well casing . riser (in inches) : 3 _ <br /> Well cover type: 8" UV 12" UV 12" EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI Other <br /> General condition of wellhead assembly: Excellent oo Fair Poor; <br /> Purging Equipment: disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposal bailer: Teflon bailer: <br /> f <br /> Well Diameter: 2" 411� 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Recharcre Measurement <br /> { <br /> Time: 70k Time: t3 6 Calculated purge: , <br /> Depth of' wel Z: Depth to water . , 6 C 3 D Actual purge:.24-•t/) <br /> Depth to water: .14-1 <br /> Start purge: 1 Sampling time: 8'.3 7 <br /> Time Temp. E.C. pH Turbidity Volume <br /> 2-6 03 ZZI --------------------- <br /> 6111- I Y4, 7�D <br /> 8"31 fi.6 /J j z'� 7-�6 <br /> Sample appearance: r, Lock: <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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