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ARCHIVED REPORTS_XR0009176
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545651
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ARCHIVED REPORTS_XR0009176
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Last modified
5/6/2020 11:41:03 AM
Creation date
5/6/2020 11:21:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009176
RECORD_ID
PR0545651
PE
3528
FACILITY_ID
FA0002479
FACILITY_NAME
7-ELEVEN INC #17334
STREET_NUMBER
4501
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017004
CURRENT_STATUS
02
SITE_LOCATION
4501 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> ROIECT# 7-Eleven Store#17334 PURGED BY Tom Miller WELL I D MW- Y <br /> CLIENT NAME 7-Eleven,Inc SAMPLED BY Tom Miller SAMPLE I D MW- C/ <br /> LOCATION 4501 North Pershing Avenue,Stockton,CA QA SAMPLES None <br /> DATE PURGED /��y�o START(2400hr) END(2400tir) / <br /> DATE SAMPLED ,sL r/� g SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater X Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2" X 3" 4" 5" 6" 8" Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1 02) (1 50) (2 60) { ) <br /> DEPTH TO BOTTOM(feet)_ .3a 7 r, CASING VOLUME(gal)_ g- -a- -3 <br /> DEPTH TO WATER(feet)_ 9 iw� CALCULATED PURGE(gal)_ s <br /> WATER COLUMN HEIGHT(feet)_ 3 /G/ T�T ACTUAL PURGE(gal)_ T- <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees C) (umhos/cm) (units) (visual) (NTU) <br /> / s-QT I/ /"/ a s— y 3 ?7 $ '? 3 c,-*, <br /> -T-o �l _55 p 7 C.4 its <br /> ,:)t_/ZL0? _ <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER / 9 G SAMPLE TURBIDITY <br /> 80%RECHARGE YES NO ANALYSES BTEX,TPHg,5 Oxygenates Via EPA 8260B <br /> ODOR 44 SAMPLE VESSEL/PRESERVATIVE HCL <br /> VK PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bader(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump X Bailer ( PVC or X disposable) <br /> X Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Penstalic Pump Dedicated Penstalrc Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# - <br /> REMARKS <br /> SIGNATURE Page A_of 5 <br />
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