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ARCHIVED REPORTS XR0006600
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 XR0006600
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Last modified
6/21/2019 9:47:27 AM
Creation date
6/21/2019 9:07:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006600
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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JJOGETTLER - RYA N INC, <br /> ` WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> ClientlFacility# ConocoPhillips #11192 Job Number 180288 <br /> Site Address 1403 Country / <br /> Club Blvd. Event Date L 4/ v (inclusive) <br /> City Stockton, CA SamplerAle.AR/AO.-I <br /> Well ID Mw- C- Date Monitored zc?. /--;i Well Condition 6 L <br /> Well Diameter 2 /(5? in Volume 314"=0 02 I'=0 04 2"=0 17 3"=0 38 <br /> Total Depth �?.13 ft Factor(VF) 4"=0 66 5"=1 02 6"= 150 12•= 580 <br /> Depth to Water L G •J i ft <br /> f �� G Z Xv>= +��_ �{• 3 Z x3(case volume)=Estimated Purge Volume �y� Sal <br /> Time Started ( hrs) <br /> Purge Equipment Sampling Equipment Time Bailed (2400 111 <br /> Disposable Bailer Disposable sable Bader �� Depth to Product ft <br /> Stainless Steel Bader Pressure Bailer - Depth to Water i , <br /> Discrete Bailer Hydrocarbon Th <br /> Shads Pump s <br /> Visual Corfirma scription <br /> Suction Pump Other <br /> Grundfos Skimmer sorbant Sade{prde one) <br /> Other Amt R oved from Skimmer gal <br /> emoved from Well gal <br /> roduct Transferred to <br /> Start Time(purge) 3& Weather Conditions P0.t— <br /> Sample Time/Date j`SQ ! <</lo Water Color C Odor <br /> Purging Flow Rate a, gpm Sediment Description 1Ld <br /> Did well de-watery /E.o If yes,Time Volume gal <br /> (gal) <br /> Conductivity Temperature DO ORP <br /> olu <br /> (2400 hr <br /> Time V(gal (elmhoslcm) (�'F pH (mg1L) (mV) <br /> ) ) <br /> - 1r3Y _ !G _ 7 0 /.Z 1 23. <br /> /_ 4rW� Vic/ .o / 1101 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW- x voa vial YES HCL STL Pleasanton TPH-G/BTiX/MTBE18 Oxy's(8260) <br /> ------------------- <br /> ------------- <br /> COMMENTS <br /> Add/Replaced Lock �� <br /> Add/Replaced Plug Size <br />
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