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ARCHIVED REPORTS XR0000778
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 XR0000778
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Last modified
2/15/2019 3:48:11 PM
Creation date
2/15/2019 2:21:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000778
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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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> 4facility# _1-C S� Q J t`j Job#: � 3 <br /> a' � <br /> Address: 1 Cp C Q Z, Date: a z1 <br /> City: Sampler: <br /> Well ID r� "` Well Condition: c7-A— <br /> Well Diameter Ih Hydrocarbon Amount Bailed <br /> Thickness- v "0 (product/water): II <br /> Total Depth n. <br /> Volume 2' - 0 17 3"— 0.38 • <br /> 0 66 <br /> Depth to Water <br /> Factor(VF) 6"- 1.50_��" S � 12"- 5.80 <br /> tt. <br /> to ' X VF � X 3 (case volume) = Estrmated Purge Volume: ' <br /> PurgeDispose le 8eil Sampling <br /> Equipment: Bs er Equipment: isposable Bad <br /> Stack Baler <br /> Suction Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other: Other: <br /> arting Time: � Z-Y .,_ Weather Conditions: <br /> I mpling Time _ �3 �s Water Color: Odor:_ <br /> Purging Flow Rate" _ onm. '-Sediment Description: <br /> Did well de-water? )f yes; Time: Volume: ~ <br /> Time Volume pH Conductivity Temperature D.O. ORP ADWh ty <br /> (gal) 7 i — Lem z wP (r"8�-) ImV? (Ppm) <br /> l ---- -- 4 <br /> _ f ------ `�` <br /> z <br /> LABORATORY INFORMATION <br /> SAMPLE ID (p)- CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES - <br /> rnO— 11 S' % VOA VIAL Y HCL SEQUOIA. TPHIMAnex/mtbe Q <br /> S��L <br /> MMENTS: s 4) g 4t✓ ,� d6a f jo D/ A <br /> I <br /> awe-e�ia.�n►n <br /> i <br />
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