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ARCHIVED REPORTS_XR0005271
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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_XR0005271
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Entry Properties
Last modified
3/11/2020 4:56:25 PM
Creation date
3/11/2020 2:52:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005271
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
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SJGOV\sballwahn
Tags
EHD - Public
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ENGINEERING, INC. <br /> FICE 097011 UC.#537901 <br /> SOU Old Aubum Ad.,Suite E, Citrus Heights.CA 93610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name �/{�Q. �4� o. Job �L Well <br /> Date Sample ID <br /> Sampling Tears <br /> Purpose of Sampling: :;initial ?Quarterly ❑i Verification r Other: <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br /> Depth Conversion Casing <br /> 7ZO—Pton Tme (TQC to G" Total Depth Feet of Water Factor Volume <br /> fttlo also allons) <br /> Initial �r YJ1fJ ZQ rl.o ! to S <br /> After Development/ <br /> Plf n r �� <br /> At Tree of Three Casing Volumes Gats <br /> Sampling Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment: SubmersibiePumpoiler 13Swdplper F-1 Other: <br /> Method: L y c, <br /> ascription <br /> �ecorrominatFon Method: <br /> escnptian <br /> Water Containment: nuns ❑ Baker Tank ❑Treatment System ❑ other. <br /> Labeled: <br /> Volume Water Tem re r{�'� <br /> StanTime p Observations <br /> Extracted °F .G (umhos) (Color,Turb",Oils,Odor) <br /> [ r > I <br /> � b <br /> tib: <br /> SAMPLE INFORMATION <br /> �4 <br /> Sampling Containers/No,of Containers Preservation <br /> 1 Liter ❑ ice Other <br /> 40 rd A a 2_ <br /> ice <br /> �Omar <br /> Omer <br /> Ice �� Omer <br /> Device: Bailer,Disposable 01 other <br /> Pertinent Fi Id Observations: <br /> Deviations From Standard Sampling Protocol: <br />
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