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ARCHIVED REPORTS XR0006572 (2)
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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1403
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2900 - Site Mitigation Program
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PR0505513
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ARCHIVED REPORTS XR0006572 (2)
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Entry Properties
Last modified
6/21/2019 11:20:02 AM
Creation date
6/21/2019 9:01:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006572
RECORD_ID
PR0505513
PE
2950
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
02
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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i WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> ty #_ %®scam, 41 !I/ Z Job#: / Sd 2, .. <br /> ass: /566-3- (26-f1 %.1n75- CCrt Date: �I d .—__.. <br /> Sampler: <br /> Well ID Well Condition: d <br />)iameter in Hydrocarbon Amount Bailed <br /> Thickness: B' DAD iti (product/water): <br /> Depth <br /> Yoluane 2"-0.17 3" -038 4" 0.66 <br /> Farrar(VF) 6'- 1.50 12' -580 <br /> i to Water .Ci <br /> ZAK 0, <br /> f CSW _ X VF `��2 �`6 X 3 (case volume) = Estimated Purge Valucna: ` ;ter► <br /> le Disposable Bailer sampling <br /> merit: Bailer Equipment: osable Bailer <br /> Stack--._ Bailer <br /> Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> in0 Time: Y V.?, d4! Weather Conditions: <br /> 3linq Time: l .5 Water Color: � � .=— Odor -{- <br />�nq Flow Rate: 1• 3 GPM Sediment Description: <br /> vell de-water? rte% If yes; Time: Volume: f..al I <br /> Me Volume pH Conductivity Temperatuse D.O. ORP Alkalinity <br /> (PL) AmhoAkm "F (M>lL) (MV) (PPM) <br /> .. _ �. --- <br /> LABORATORY INF0RMATION <br /> SAMPLE ID (al) - CONTAINER REFRIG. PRESERV,TYPE LABORATORY ANALYSES <br /> Von viaL- l.lc.cr SEQt.i©l A -rf1o4fz18TSr Mt <br /> S o X s Sz.6a <br /> LAMENTS: <br />
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