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ARCHIVED REPORTS_XR0005291
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_XR0005291
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Entry Properties
Last modified
3/11/2020 7:18:21 PM
Creation date
3/11/2020 2:58:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005291
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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ENGINEERING. INC <br /> RCE*27o11 Le #537901 <br />' 8084 Old Aubum Rd,Suite E Citrus Heights CA 9561 o <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> i6project Name - ftp1�l ,lob#_S C9 Well# <br /> Date Lo Sample ID KIVA L' <br /> Sampling Team <br /> Purpose of Sampling Initial P?S.puarterly ❑ Verrficabon ❑ Other <br />' Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br />' Depth Conversion Casing <br /> Desenption me (TOC to GW) Total Depth Feet of Water Factor Volume <br /> 'rime <br /> Initial <br /> (€t togals) allons) <br /> Auer Development/ <br /> Pur in , <br /> At Time of (� Three Casing Volumes Gals <br /> sampling Ten Casing Volumes Gals <br /> t WELL DEVELOPMENT UR I <br /> /P G NG <br /> Equipment ❑Submersible Pump LK Saler ❑ Sandpiper EDOther <br /> Method ��s 't_=� <br /> Uescription <br /> Decontamination Method <br /> nption <br /> tar Containment (�(Drums ❑ Baker Tank ❑ Treatment System ❑ Other <br /> ILabeled PLS Q. <br /> Volume Water Temperature Start Time Extracted � P' Observations <br /> (umhos' <br /> ° � ) (Color,TurbiUty,Ods,Odor) <br /> 2 5 <br /> SAMPLE INFORMATION <br /> Lab <br /> Sampling Containers/No of Containers Preservation <br /> ml <br /> 40 ml VOA <br /> ' 1 Amber �� El ice ❑ Other <br /> t <br /> Other � .�'lCe �Otherk- <br /> ❑ tie D Other <br /> Device �Rlailer,Disposable ❑ Other <br /> Pertinent Field Observations <br /> "Dewabons From Standard Sampling Protocol <br />
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