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ARCHIVED REPORTS_XR0005200
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MARIPOSA
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2132
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2900 - Site Mitigation Program
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PR0541650
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ARCHIVED REPORTS_XR0005200
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Entry Properties
Last modified
3/11/2020 5:52:29 PM
Creation date
3/11/2020 2:40:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005200
RECORD_ID
PR0541650
PE
2960
FACILITY_ID
FA0023868
FACILITY_NAME
FORMER USA GASOLINE SERVICE STATION 110
STREET_NUMBER
2132
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
1730635
CURRENT_STATUS
01
SITE_LOCATION
2132 E MARIPOSA RD
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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A <br /> / The ' <br /> / p rk <br /> [ orporatson <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name U-SA AAkM <br /> Job# <br /> Date — "Z t —cl -7 ` • ' <br /> Sampling Team <br /> (Names/Responsibilities) , <br /> Purpose of Sampling Initial =0,,rteiyVerflcation Other <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME , <br /> Depth Total I Feet of Conversion Casin Volume ' <br /> Initial <br /> Time TOC to GW Depth Water Factor Gallons <br /> Atter devela 1 ur in ' <br /> At time of Sam lin (Z Q 1 Three Casing Volumes L{ 7 GaIS <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING , <br /> Equipment Swab-Aire C--abu Bader Sandpiper Other <br /> Method Description :�FR I t c2y� ~ t� <br /> Decontamination Method --�� <br /> Water Containment rums baker tank other <br /> Labeled <br /> Pump Vol Water Tem ' <br /> EC �- Observations <br /> Time Rate Extracted PC —_Jumhos pH color turbidity oils odor <br /> Start (42 <br /> a .7 <br /> 1 <br /> Lab S r2 SAMPLE INFORMATION <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and ' <br /> 40 ml Voa Z + ) and_ <br /> Other �-' <br /> Ice and <br /> Time <br /> Device DisBpo sableailer Other- <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />
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