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ARCHIVED REPORTS XR0000775
Environmental Health - Public
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EHD Program Facility Records by Street Name
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CAMBRIDGE
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16470
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3500 - Local Oversight Program
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PR0544155
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ARCHIVED REPORTS XR0000775
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Last modified
2/15/2019 4:57:57 PM
Creation date
2/15/2019 2:20:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000775
RECORD_ID
PR0544155
PE
3526
FACILITY_ID
FA0000185
FACILITY_NAME
CITY GAS & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
02
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
WNg
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EHD - Public
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I IA <br /> INC.CE T TL FAQ U }- RYA <br /> ( WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility;Clieni/Facility # Tosco #101205 ,lob Number 180183 <br /> Site AddreGC 16470 Cambrldae Street Event Date /t �00Z— _ _ (inclusive) <br /> City Lathrop, CA Sampler / <br /> Well ID MW- Well Condition e-kc _— <br /> Well Diameter 2 in <br /> Total Depth �i (j it Volume 314 =0 02 1 =0 04 2=0 17 3=0 38 <br /> Factor(VF) 4 =0 66 5 1 02 6= 1 50 12"= 5 80 <br /> Depth to Water / Z ft <br /> "VF /"T— = I00-/zI x3(case volume)=Estimated Purge Volume S gat <br /> Purge Equipment / Sampling Started (2400 hrs)g Equipment Time Balled (2400 hrs) <br /> Disposable Bailer / Disposable Bailer Depth to Product f1 <br /> Stainless Steel Bader Pressure Bailer Depth to Water <br /> Stack Pump Discrete Bader Hydrocarbon Thickness ft <br /> Suction Pump Other Visual Confirmation/Description <br /> Grundfo$ <br /> Skimmer/Absorbant Sock(crrcle one) <br /> Other Amt Removed from Skimmer gal <br /> Amt Removed from Well gal <br /> Product Transferred to <br /> Start Time (purge) J,0;�- Weather Conditions <br /> Sample Time/Date !�' rJ Water Color [/ct:cf� Odom j <br /> Purging Flow Rate apm Sediment Description <br /> Did well de-watery It yes, Time Volume r gal <br /> Time Volume p H Conductivity Temperature D O ORP <br /> (2400 hr) (gal) (umhos/cm) (C/F) (mg/L) (mV) <br /> �—v 1zy5 G� Y <br /> O <br /> LABORATORY INFORMATION <br /> SAMPLE ID (iff)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW- x voa vial YES HCL STL Pleasanton TPH-G/BTEX/MTBE/8 Ox '$(8260) <br /> COMMENTS <br /> Add/Replaced Lock Add/Replaced Plug <br /> Size <br />
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