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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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ENGINEERING, INC <br /> RCE;P27011 UC #537901 <br /> 6084 Old Aubum Rd Surte E Citrus Heights,CA 95&1 o <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name Job 5 Well# -k <br /> Date 'ZD Sample ID �- <br /> Sampling Team <br /> Purpose of Sampling i 1 Initial Quarterly ❑ Verification ❑ Other <br />' Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> 4 <br />' Depth Conversion Casing <br /> Description Time (TOC to GW) Total Depth Feet of Water Factor Volume <br /> (It togals) <br /> Initial 0 CEOaflons} <br /> c2 �j[cQ 2(v,��,o ,ISS <br /> After Development/ Ll5 ( i� <br /> Purging n !�g <br /> At Time ofr�1 Three Casing Volumes Gals <br /> Sam lin 1��� LSr`r Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br />' Equipment Submersible Pump ❑ Bailer ❑ Sandpiper ❑ Other <br /> Method 2" <br /> r� Descrip on <br /> Decontamination Method (-t. V-1"L-'a <br /> Description <br /> ter Conta �ry Drums ❑ Baker Tank ❑Treatment System Other , <br />' Labeled <br /> Start Time Volume Water TernDemiture Observations <br /> Extracted °F C (umha ? pH <br /> (Color,Turbitity,Oils,Odor) <br /> 1�0 L110 <br /> Lab <br /> �v <br />' � r <br /> SAMPLE INFORMATION <br />' 1 Lifer Amber Sampling Containers/No of Containers Preservation❑ <br /> ?40 ml VOAs�"�et.- ❑ Ice ❑ 011ier <br /> Other — Ice Other 4a- <br /> El ice l❑ Other <br /> Device ?Bailer,Disposable ❑ Other <br /> Pertinent Feld Observations <br /> Deviations From Standard Sampling Protocol <br />
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