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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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Entry Properties
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 /> ROJECT# 7-Eleven Store#17334 PURGED BY Tom Miller WELL I D MW- <br /> CLIENT NAME 7-Eleven,Inc SAMPLED BY Tam Miller SAMPLE I D MW- S/A <br /> LOCATION 4501 North Pershing Avenue,Stockton,CA QA SAMPLES None <br /> DATE PURGED START(2400hr) 1-15- 5 END(2400hr) s <br /> DATE SAMPLED ������� SAMPLE TIME(2400hr) Z/ <br /> SAMPLE TYPE Groundwater X Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2" X 3" 45" 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)= -33 6G CASING VOLUME(gal)_ �:)- y s <br /> DEPTH TO WATER(feet)= - / V (. 3 CALCULATED PURGE(gal)_ 7s— <br /> WATER COLUMN HEIGHT(feet) ACTUAL PURGE(gal)_ �~ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees C) (umhos/cm) (units) (visual) (NTU) <br /> _�l�_ <br /> -5 , 6 O �/� x'. 99 <br /> �y SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER b. 7 SAMPLE TURBIDITY W 6 <br /> 80%RECHARGE YES NO ANALYSES BTEX,TPHg,5 Oxygenates Via EPA 8260B <br /> ODOR SAMPLE VESSEL/PRESERVATIVE HCL <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(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 Peristalic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY �C� LOCK# <br /> REMARKS _ Q (� G <br /> SIGNATURE Page of 5 <br />
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