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SR0084051 (4)
EnvironmentalHealth
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2900 - Site Mitigation Program
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SR0084051 (4)
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Last modified
10/26/2022 1:19:52 PM
Creation date
10/26/2022 1:17:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
SR0084051
PE
2903
FACILITY_ID
FA0024553
FACILITY_NAME
SHARPE ARMY DEPOT OFF SITE EXTRACTION WELL INSTALLATION
STREET_NUMBER
700
STREET_NAME
ROTH
STREET_TYPE
RD
City
LATHROP
Zip
94523
APN
19802001
ENTERED_DATE
8/10/2021 12:00:00 AM
SITE_LOCATION
700 ROTH RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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Sample #:__________________ <br />Field Samples <br />Sample Time:____________ <br />Groundwater Sampling Form <br />Job Name:_________________ <br />Job Number:_______________ <br />Well Number:______________ <br />Field Parameters <br />Meter Calibration Time:__________ <br />Meter S/N Standard Comments <br />Volume/cont.Analysis required Preservative Comments <br />QC Samples <br />Sample Type Sample Time Sample #Comments <br />Sample Readings <br />Time pH Conductivity DO <br />Date:__________________ <br />Recorded By:____________ <br />Sampled By:_____________ <br />General Comments: <br />ORP
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