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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
Tags
EHD - Public
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EV I � <br /> ETTLEli - RYAN INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility #1 Tesco 401205 Job Number 180183 <br /> Site AddreGs 16470 Cambridge Street Event Date P/0--C-/, (Inclusive) <br /> City Lathrop, CA Sampler <br /> Well ID M W- -Z- Well Condition <br /> Well Diameter 2 in <br /> Volume 314 =0 02 1 = 0 04 2 =0 17 3=0 38 <br /> Total Depth _ Y_ kp tt Factor(VF) 4'=0 66 5 = 1 02 6"= 1 50 12 = 5 80 <br /> Depth to Water / s i S tt <br /> 1 r <br /> xVF 7 _ x3{case volume) = Eslimated Purge Volume --'r gal <br /> Purge Equipment Sampling Equipment Time Started 100hTime Balled Disposable Bailer Disposable Bailer + Depth to Product Stainless Steel Bailer Pressure Bader Depth to Water Stack Pump Discrete Bailer Hydrocarbon Thickness <br /> Suction Pump Other <br /> Visual Confirmationldescnption <br /> Oos <br /> Other Skimmer 1 Absorbant Sock(circle one) <br /> Other Aml Removed from Skimmer gal <br /> Aml Removed from Well gal <br /> Product Translerred to <br /> Start Time (puree) /®e-L ` Weather Conditions <br /> Sample Time/Date Water Color �vz—V Odor �CZ,46�: <br /> Purging Flow Rate gpm^ Sediment Description r <br /> Did well de-water? �fr� It yes, Time Volume gal <br /> Time Volume p H Conductivity Temperature D O ORP <br /> (2400 hr) (gal) (urnhos/cm) (C/F) (mg/L) (mV) <br /> CIO s' <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#)CON7AiNER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW- �_ x voa vial YES HCL STL Pleasanton TPH-G/BTEX/MTBE18 Oxy s(8260) <br /> COMMENTS <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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