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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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C
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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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' C7 ,C T TL FR - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility # Tesco 4101205 Job Number 180183 <br /> Sale AddreFs 16470 Cambridge Street Event Date z a (inclusive) <br /> City Lathrop, CA Sampler / Z <br /> Well ID MW- & Well Condition <br /> Well Diameter 2 in —` <br /> Volume 3/4 =0 02 1 =0 04 2=0 17 3=0 36 <br /> Total Depth Factor(VF) 4'=0 e6 s = 1 02 6= 1 60 12= 5 so <br /> Depth to Water y y it <br /> xVF t = /-5-5 X3(case volume) =Estimated Purge Volume y gal <br /> Purge Equipment Sampling Equipment Time Started (2400 hrs)Time bailed (2400 hrs) <br /> Disposable Bailer 1� Disposable Bader Depth to Product tt <br /> Stainless Steel Bader Pressure Bailer Depth 10 Water f <br /> Stack Pump Discrete Bader Hydrocarbon Thickness ft <br /> Suction Pump Other Visual Confirmation/Description <br /> Grun <br /> Other Skimmer/Absorbant Sock(circle one} <br /> Other Amt Removed from Skimmer gal <br /> Amt Removed from Well gal <br /> Product Transferred to <br /> Start Time (purge) Weather Conditions <br /> � <br /> Sample Time/Date f /L> %e)l2–s�_� Water Color Odor <br /> Purging Flow Rate gpm <br /> Sedtmenl Description <br /> Did well de-water? e!7i If yes, Time Volume gal <br /> Time Volume H Conductivity Temperature D O ORP <br /> {2400 hr) (gal) p (umhoslcm) (CIF) <br /> (mg/L) (mV) <br /> '7- . y <br /> LABORATORY INFORMATION <br /> SAMPLE 1D (#)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW x voa vial YES HCl_ STL Pleasanton TPH-G/BTEX/MTBE/8 Oxy's(8260) <br /> COMMENTS <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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