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ARCHIVED REPORTS XR0012481
Environmental Health - Public
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EHD Program Facility Records by Street Name
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16470
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3500 - Local Oversight Program
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PR0544155
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ARCHIVED REPORTS XR0012481
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Last modified
2/15/2019 6:17:47 PM
Creation date
2/15/2019 2:33:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012481
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
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EHD - Public
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SECOR International Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> OJECT# 77CH 43449 00 0650 PURGED BY Damon Mmarich WELL I D <br /> CLIENT NAME Chevron 9-5775 SAMPLED BY Damon Mmarich SAMPLE I D wwj <br /> LOCATION 30t W Kettleman Ln Lodi,CA QA SAMPLES <br /> START'(2400hr) END(2400hr)j f• �s <br /> DATE PURGED � �� _ <br /> DATE SAMPLED t/ SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater,! Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2 A 3" 4 5' 6" 8' Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet) 00 CASING VOLUME(gal)= <br /> DEPTH TO WATER(feet)= 7 S C� _ CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet)= 750 ACTUAL PURGE(gal)= U LD <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NTU) <br /> rad .— _ <br /> _.i.Z1. -- y,0 <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER S 7 A,Q. SAMPLE TURBIDITY <br /> 80%RECHARGE t YES NO ANALYSES TPHg,13TEX,7 oxyygenates(MTBE,TAME DIPS,ETBE,TBA, <br /> EDB,and 1,2 DCA)Ethanol,Methanol <br /> ODOR SAMPLE VESSEL/PRESERVATIVE 8 voas/Hcl <br /> PURGING EQUIPMENT �� SAMPLING EQUIPMENT <br /> Bladder Pump _Bailer Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump Bailer ( PVC ori_disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Penstalic Pump Dedicated Peristalic Pump Dedicated <br /> Other. Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# 6LeP5 <br /> REMARKS <br /> SIGNATU <br /> Page of <br />
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