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ARCHIVED REPORTS_XR0008830
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WATERLOO
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2358
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2900 - Site Mitigation Program
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PR0543607
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ARCHIVED REPORTS_XR0008830
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Entry Properties
Last modified
10/10/2020 10:36:43 PM
Creation date
7/9/2020 10:15:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008830
RECORD_ID
PR0543607
PE
3528
FACILITY_ID
FA0006343
FACILITY_NAME
STOCKTON MOBIL 3*
STREET_NUMBER
2358
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14118221
CURRENT_STATUS
02
SITE_LOCATION
2358 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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DOUL08 ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHE <br /> Sampling Date: + 3 <br /> Client: Ultra—mar <br /> Site: 9 Project No. : 94-419-91 <br /> Road <br /> well Designation: MW- <br /> Wg 3 <br /> Stockton CA <br /> Is setup of traffic control devices required? YES Above TOC Below TOC <br /> ES time: hours <br /> Is there standing water in well box.7NO If no, see remarks <br /> Is top of casing cut level? If no, see remarks <br /> Is well cap sealed and locked? NO3 <br /> Height of well casing riser (in iinches) : 1Z� SCO g�� BK. <br /> Well cover type: 8" UV— —��� CNr Other <br /> 12" BK— 12" DWP �� CNI�_ Fair Poor <br /> General condition of wellhead Issembly: Excellent <br /> 2" disposable bailer _Submersible pump <br /> Purging Equipment: — 210 pVC bailer Dedicated bailer <br /> req" pVC bailer centrifugal pump <br /> Sampled with: Disposable bailer: <br /> e�I Teflon bailer: <br /> well Diameter: 2" 4" 6ff_ 801— <br /> purge <br /> apurge Vol. Multiplier: 0. 160. 65 1. 47 2 . 61 gal/ft. <br /> t e ' a e - eas eme <br /> Time: 10 = Calculated purge:- <br /> I0 <br /> � <br /> Time y / De th to water: y 7 �0 Actual purge: - <br /> Depth of well. p <br /> Depth to water• <br /> Start purge: /0 : 10 Samp1ing time:—/-L2-3L <br /> Time Temp. <br /> E.C. pH Turbidity Volume <br /> d iu o <br /> �D `. v d �---- 3 <br /> L/ <br /> Sample appearance: ���� � Lock: <br /> Equipment replaced: (Check all that apply) Note conditidn of replaced item <br /> 2" Locking Cap:, Lock '3753 :- 7/32 Allenhead: ;•. <br /> 4" Locking Cap:, ._ Lock-Dolphin:�� 9/16 Bolt: <br /> ._ <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: <br />
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