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ARCHIVED REPORTS XR0000451
Environmental Health - Public
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EHD Program Facility Records by Street Name
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B
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BENJAMIN HOLT
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2908
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3500 - Local Oversight Program
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PR0544111
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ARCHIVED REPORTS XR0000451
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Entry Properties
Last modified
2/7/2019 4:25:07 PM
Creation date
2/7/2019 2:07:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000451
RECORD_ID
PR0544111
PE
3528
FACILITY_ID
FA0003625
FACILITY_NAME
ARCO STATION #83560*
STREET_NUMBER
2908
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09763032
CURRENT_STATUS
02
SITE_LOCATION
2908 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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FIELD DATA SHEET- <br /> WATER SAMPLE FIELD DATA SHEET � �g;;e �'• ! <br /> PROJECT No O V37 LOCATION Z9o8 Pei t WELL ID #• -Z <br /> r• . ii <br /> CLIENT/STATION No FIELD TECHNICIAN :28u`- �/�► 1lnh �r <br /> WELL INFORMATION CASING GA <br /> Depth to Liquid '---- TOB y T(>C DIAMETER LINEAR FT SAMpLE TypE <br /> Depth to water 1Z )v TOB_ Q ' I TOC ❑ 2 017 Groundwater <br /> Total depthTOB. Zcj W TOC ❑ 038 Duplicate <br /> Date._ci,I^AV Time(2400) 1010 ❑ 4 066 ❑ Extraction well <br /> ❑ ±5 083 - s ❑ Trip blank <br /> Fraise Type ❑ OtWVate(interlace ❑ S 1 02 ❑ Field blank <br /> am EkElectronic Indicator It 'z- ❑ 6 L, ❑ Equipment blank <br /> I o' ❑Other, <br /> ❑ 8 26 ❑ Other, <br /> t <br /> p Gal/Linear Number of Calculated <br /> TI) I U - DTW to x Foot -�,(i R 11 2�A x Casings_� —�Purge 33 i <br /> DATE PURGED: 125 i(1 START- 1 END (2400 hr) PURGED BY- fPW <br /> DATE SAMPLED. 9 2 j Ila START- 12 ?-Lj END(2400 hr) t 3 a SAMPLED BY: I i'lJ <br /> TIME VOLUME pH EG TEMPERATURE <br /> 2400 hr f9a units (wnhos/cm 01 S`C} ' F COLOR TURBIDITY ODOR <br /> 17.1h IN O 7,4 - i G(,b__ -18 --) r L _tee ) -060.:e- <br /> —snr�a_ f1�nP <br /> Sl.zq "33 c7 -�1V — ._j1•a CAov <br /> tea.-lamt�one- <br /> Pumped dry Yes / w <br /> &4,dW,. <br /> C6--Ir <br /> Ycm~ <br /> FIELD MEASUREMENTS AT TIME OF SAMPLE,AFTER RECHARGE: <br /> DTW 13.E roB oc <br /> PURGING EQUIPMENT/I.D.# SAMPLING UIPMENT I D. A <br /> ❑ Baiter Aldift Pump-- ❑.Bailer L3- <br /> ® Centrifugal Pump: 4• � ❑ Dedicated. ❑ Dedicated <br /> ❑ Other ❑ Other <br /> CAMP.CNML 0 DATE TIME 24001 No of Cont. SIZE CONTAINER PRESERVE ANALYrICAL PARAMETER <br /> REMARKSSIGNATURE <br /> PACtic <br /> rnetiQ �'_ <br />
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