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ARCHIVED REPORTS_XR0008567
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_XR0008567
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Last modified
7/15/2020 4:53:29 PM
Creation date
7/15/2020 3:00:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008567
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
Tags
EHD - Public
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SCI: INC MONITORING WELL PURGING AND SAMPLING LOG <br />' Project Name r01C 4N. ,r �� ��� Project No (C)cq <br /> Project Address/City/CountyV1 <br /> c <br /> 1 Water Level Meta(Modd/ID) Heron Interface Probe(Mods lD) <br /> Water Quality Meter cmoddnD) HyDac Decontamination Method 3-stage bucket (wash, tap rinse, DI rinse) <br />' Purging Method X PVC Bailer Vacuum Truck _Submersible Pump Other <br /> Sampling Method _Teflon Bailer X Disposable Bailer Other <br />' "Bor�eho!eter(Circle) 8" 10" 12" Casing Diameter(Circle) 2' 4" 6" 12" 18" 24" <br /> Borehole Multiplier(BM)wonslroot) 081 15 195 Casing Multiplier(CM)(gaiione)root) 1 0 65 147 587 132 235 <br /> 1 Depth to Free Product(feet) Borehole Volumes(BV) <br /> Depth to Water(DTW)(feet) WC x BM = (BV)(gai) x 1 5 BV(gat) <br />' Total Well Depth(feet) } yj Casing Volumes(CV) <br /> Water Colunm(WC)(feet) WC Z�t X't x CM©'l�g (CV)(gsl) x 3 0 CV(gal) <br />' Free Product Thickness(feet) Free Product Purged(gallons) <br /> Cum Vol Purged ' Elec ne Conductivity Dissolved Turbidity Odor <br /> Time DT <br /> W(e) (gallons) Temp pH (u or m mhos) Oxygen(mg/l} (>inn {Yes/No) <br /> O L3 Purging Start Time <br /> o-[26 S j Z 3 <br /> o 3b to �o`ei ,S� ,tet i ISIA <br />' <br /> too,:;- <br /> Total Gallons Purged S <br /> =Purging-Endnme <br />' Depth to Water @Sample Time(DTWs) <br /> Time Sampled <br /> (333 <br />' Filtered Analytical Parameters <br /> Container Types,Volumes,&Quantities (3-�a) Sample Preservatives (cross-out all NOT applicable) <br /> x 40 mL VOAs N Ica and HCl TFHg / BTEX / MTBE / OXYs <br /> Maximum Drawdown(DTWm)(feet) Approximate Flow Rate(GPM) <br /> Recovery <br /> %Recovery =1- (DTW-DTWm) x 100 Calculation %Recovery =1 ( - ) X100 <br /> Recovery Type _Fast Slow o <br /> /o Recovery= <br /> ATC Representative(s) <br /> Subcontractor <br /> Signature <br /> �yW GV`+ 6 1"' Date Ci' �•- <br />
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