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ARCHIVED REPORTS_XR0009193
EnvironmentalHealth
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PERSHING
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3500 - Local Oversight Program
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PR0545651
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ARCHIVED REPORTS_XR0009193
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Entry Properties
Last modified
5/6/2020 11:47:28 AM
Creation date
5/6/2020 11:25:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009193
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 /> 61ROJECT# <br /> 7-Eleven Store#17334 PURGED BY _ Peng Vang _ WELL I D MW- 2 <br /> CLIENT NAME 7-Eleven,Inc SAMPLED BY Peng Vang SAMPLE I D MW- y <br /> LOCATION 4501 North Pershing Avenue,Stockton,CA QA SAMPLES None <br /> DATE PURGED 2 L>-c3 START(2400hr) D 3 -� END(2400hr) 0 SL <br /> DATE SAMPLED 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) -((—)38) -(0-6 (1 02) T 50) (2 60) { ) <br /> DEPTH TO BOTTOM(feet)_ CASING VOLUME(gal) <br /> DEPTH TO WATER(feet)= CALCULATED PURGE(gal)= 7. <br /> WATER COLUMN HEIGHT(feet)_ /3 7 ACTUAL PURGE(gat)w -7, <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees C) (umhos/cm) (units) (visual) (NTU) <br /> _/DSL ��_ � `�L� <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY L p J <br /> 80%RECHARGE -pw,--YES NO ANALYSES BTEX,TPHg,5 Oxygenates Via EPA 8260B <br /> ODORZE 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 /> Penstal►c Pump Dedicated Pernstalic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# 3 <br /> REMARKS 0 _. <br /> i <br /> low- <br /> SIGNATURE Page of 5 <br />
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