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ARCHIVED REPORTS_XR0008563
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WATERLOO
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2537
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3500 - Local Oversight Program
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PR0545857
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ARCHIVED REPORTS_XR0008563
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Last modified
7/15/2020 9:32:22 PM
Creation date
7/15/2020 2:58:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008563
RECORD_ID
PR0545857
PE
3528
FACILITY_ID
FA0005147
FACILITY_NAME
E-Z FOOD
STREET_NUMBER
2537
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
11914035
CURRENT_STATUS
02
SITE_LOCATION
2537 WATERLOO RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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LSauers
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EHD - Public
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MONI T 01UNG WELL PURGING AND SAMPLING LOG <br /> Well No MW f <br /> Project Name RPMS EZ Serve Stockton 4100966 Project No 54 25827 26 16 <br />' Protect Address!City/County, 2531 Waterloo Road/Stockton/ San 3aagwn <br /> SAMPLINGPURGING & • f <br />' Water Level Meter(Mode!!tn) Solmist/ ,+STC` Z- Interface Probe(Model/M) NA <br /> Water Quality Meter(Model/my YSI '"'�LS n Decontamination Method 3-stage bucket (wash, tap rinse, DI rinse) <br /> Purging Method — PVC Bailer _Vacuum Truck _Submersible Pump Other <br /> Sampling Method Teflon Bader A-ff)isposable Bailer Other <br /> BOREHOLE iLUME INFORMATION <br /> Borehole Diameter(Circle) 8" 10" 12" Casing Diameter(Circle) 2" 4" 6" 12" 18" 24" <br /> Borehole Multiplier(BM)(gallomlrooi) 081 is 195 Casing Multiplier(CM}(gallonslmot 0 16 065 147 587 132 235 <br /> MONITORING i <br /> Depth to Free Product(feet) Borehole Volumes(BV) <br /> Depth to Water(DTW)(feet) '19 <br /> r WC x BM - ($V)(gal) x i s BV(gal) <br /> Total Well Depth(feet) G7-` 1115 Casing Volumes(CV) <br /> Water Column(WC)(feet) i WC Z 1 4(d x CM 0, = V T (CV)(gal) x 3 0 CV(galx f,Zv <br /> Free Product Thickness(feet) Free Product Purged(gallons) <br /> PURGING DATA <br /> 7Cum Vol Purged Ele c Conductivity Dissolved Turbidity Odor <br /> Time DTW(a) (gaPons) Temp Cc) pH (x rm mhos) Oxygen(mgti (NTU) (YcslNo) <br /> Purging Start Time �yi� �( /'� <br /> 690 As l6 i FFD,, co <br /> Iro ,20 031f ♦� t l� /.,e <br /> 51 <br /> Lf cT <br />' 4 Total Gallons Purged <br /> OorgingEndTknie <br /> SAMPLING <br /> Time Sampled //-33 Depth to Water Q Sample Time(DTWs) <br /> 1 <br /> Filtered Analytical Parameters <br /> Container Types Volumes,&Quantities (YW/ao) Sample Preservatives (cross-out all NOT applicable) <br />' Glass VOA, 40 m1 , X 4 no HC1 BTEXlTPHG1 OXY'S, Pb scavengers <br /> WELL RECOVERY DATA <br /> Maximum Drawdown(DTWrn)(feet) Approximate Flow Rate(GPM) <br /> Recovery <br /> %Recovery =1- fDTW-DTWs) x 100 Calculation %Recovery =1 } x 100 <br /> (DTW-DTWm) ( ) <br /> Recovery Type <br /> Fast _Slow %Recovery= <br />' FIELD PERSONNEL <br /> ATC Representatives) AEex Flores/Mike Luksic <br /> Subcontractor <br /> r <br /> Signature ^AtLn� �� _Date <br /> hrt WDY Q <br />
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