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ARCHIVED REPORTS_XR0005292
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_XR0005292
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Entry Properties
Last modified
3/11/2020 7:10:52 PM
Creation date
3/11/2020 2:59:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005292
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 /> ACE#27011 L1C #537901 <br /> 8084 Old Auburn Rd,Suite E Citrus Heights,CA 85610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name well# �"'� <br /> Date 1 ZI1, _I <br /> � 8 Sample ID <br /> Sampling Team t� <br /> Purpose of Sampling ❑ Initial 1KIQuarterly ❑ Verification ❑ Other <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME , <br /> Descnption Time Depth Conversion Gasing <br /> (TOC to GW) Total Depth Feet of Water Factor Volume , <br /> _ (ft to als) allonsl <br /> Initial - `� <br /> After Development/ ILO <br /> ,_,{c �a (� <br /> Pu i {Qc1 1 4L <br /> At Time of �O ���a Three Casing Volumes Gals ' <br /> Sam lin !r Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment ,�Submersible Pump E:1 Sailer C] Sandpiper 1:1 Other <br /> � <br /> Method 2" n zc" <br /> Uescription <br /> Decontamination Method �� LK <br /> escnption <br /> Water Cont'Vr!'U <br /> ,�Drums 1:1Baker Tank 11 Treatment System Other <br /> Labeled <br /> Start Time Volume Water Temperature -ZiF Observations ' <br /> Extracted "F (umbos) pN <br /> lD2 <br /> (Color,Turbitity Oils Odor) <br /> � �'� t r. � <br /> to {�� �,�-- <br /> la <br /> Lab <br /> SAMPLE INFORMATION <br /> tE¢� <br />-- - Sampling Containers/No of Containers Preservation <br /> � 1 Liter Amber <br /> 40 m!VOA ❑ ice ❑ Other <br /> Other Ice Other c _ <br /> ❑ ice J Other <br /> Device �_q Hader Disposable ElOther <br /> Pertinent Feld Observations , <br /> Deviations From Standard Sampling Protocol <br />
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