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ARCHIVED REPORTS_XR0005113
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MOFFAT
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392
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3500 - Local Oversight Program
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PR0545570
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ARCHIVED REPORTS_XR0005113
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Entry Properties
Last modified
9/23/2020 10:54:28 PM
Creation date
3/18/2020 2:49:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005113
RECORD_ID
PR0545570
PE
3528
FACILITY_ID
FA0009389
FACILITY_NAME
SJC DEPT OF AG - MANTECA
STREET_NUMBER
392
Direction
S
STREET_NAME
MOFFAT
STREET_TYPE
BLVD
City
MANTECA
Zip
95336
APN
221-030-08
CURRENT_STATUS
02
SITE_LOCATION
392 S MOFFAT BLVD
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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SAMPLING INFORMATION SHEET <br /> Ramage Evruromental Sampling Date <br /> Site AG Manteca Project No <br /> 392 South Moffat Boulevard Well Designation <br /> Manteca, CA <br /> Is setup of traffic control devices required9 YES time hours <br /> Is there standing water to the well box? Y Above TOC Below TOC <br /> Is top of casing cut level? NO If no,see remarks <br /> Is well cap sealed and locked? NO If no,see remarks <br /> Height of well casing user(in inches) <br /> Well cover type 8"or 12"W 12"EMCO 8"or 12"BK 8"Christy <br /> 12"Christy8"M&D 12"M&D 12"DWP <br /> 12"CNI 36"CNI 12"Pomeco Other 'e'7bVY�S <br /> General condition of wellhead assembly Excellent Good_ Fair Poor <br /> Purging Equipment 2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> -___-4" PVC bailer �,.� Centrifugal pump <br /> Sampled with Disposable bailer _ Teflon bailer Disposable Tubmg <br /> Well Diameter 2" 4" 6" 8" <br /> Purge Vol Multiplier 016 065 147 2 61 gal/ft <br /> Initial Measurement Recharge Measurement <br /> Time r 55 Time - � Calculated purge <br /> Depth of well Z Depth to water / Actual purge. <br /> Depth to water _ 8 <br /> Start purge A) 'O z- Sampling time 40 ; <br /> Time Tern erature EC H Turbidity Volume <br /> /0 : 4D F 3. 119 6 45-- z <br /> elo <br /> Sample appearance 2!4;;� iLock f <br /> Equipment replaced (check all that apply) Note condition of replaced item(s) <br /> 2"Locking Cap Lock 7132 Allenhead <br /> 4"Lockln&Cap' Lock-Dolph --- 9116 Bolt: - <br /> 6"Locking;Cap )�urned Allenhead (DWP) <br /> Remarks Y t' <br /> Signature: <br />
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