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ARCHIVED REPORTS_XR0005291
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_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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ELLENGINEERING INC <br />' RCE#27011 Lic #537901 <br /> 8084 Ofd Aubum Rd Suite E Crtrus Heights GA 95610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name LJISA- 1-4 Job# Well# �-U-L- <br /> Date ID 2p <br /> Sample ID��2 <br /> Sampling Team <br /> Purpose of Sampling ❑ Initial Quarterly ❑ Verification ❑ Other <br />' Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br />' Depth Conversion Casing <br /> Descnption Time (TOC to GVV) Total Depth Feet of Water Factor Volume <br /> r <br /> lnibal r� (ft to als allons) <br /> 5� ILA �, ;0 G G r } r fps <br /> After Development' �t <br /> Purging <br /> At Time of (f Three Casing Volumes 52�� Gals <br /> ' Sampling Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> ' Equipment XSubmersible Pump ❑ Bader ❑ Sandpiper ❑ Other <br /> Method V 7(a-=V` <br /> cnptron <br /> Vater <br /> econtamination MethodP "��~ <br /> ues <br /> Des <br /> cnption <br /> Containment N Drums ❑ Baker Tank ❑ Treatment System ! Other , <br /> Labeled PwV.4,- ti+�► -Y - <br /> Start Time Volume Water Tempqlure -{�-- H Observations' Extracted C (umhos) p <br /> u f lcr + (Color,Turbitity,Ods,Odor) <br /> i i <br /> ' lot l <br /> SAMPLE INFORMATION <br /> ' Lab <br /> Sampling Containers/No of Containers Preservation <br /> ' ;5 1 ml Amber ❑ Ice ED Other <br /> L] Other <br /> e VOA_ [ '{` t 5= Ice /XDtJh9r LL <br /> ❑ Other <br /> ❑ Ice ;] Other <br /> Device ader,Disposable ❑ Other <br /> Pertinent Field Observations <br /> Deviations From Standard Sampling Protocol , <br />
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