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ARCHIVED REPORTS XR0006604
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 XR0006604
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Last modified
6/21/2019 10:42:18 AM
Creation date
6/21/2019 9:09:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006604
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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6ETTLER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# Tosco #11192 Job Number 180288 <br /> Site Address 1403 Country Club Blvd. Event Date /-3 ' (Inclusive) <br /> City Stockton, CA Sampler O <br /> Well ID MW- Date Monitored 1" Well Condition <br /> Well Diameter 2 1 <br /> in <br /> Volume 314"=0 02 1'=D 04 2"=0 17 3'=0 38 <br /> Total Depth 4•0 3 ft I Factor(VF) 4'=0 66 5'=102 6'= 1 50 12'= 5 80 <br /> Depth to Water 1�-s 9 n <br /> xVF 66 - E3 x3(case volume)=Estimated Purge Volume �' gal <br /> [HydKcarbon <br /> tarted (2400 hrs) <br /> Purge Equipment Sampling Equipment aled 42400 hrs) <br /> Disposable Bader Disposable Bailer to Product fl <br /> Stainless Steel Bader Pressure Bader to Water <br /> Stack Pump Discrete Bader Thickness ft <br /> Confirmation/Description <br /> Suction Pump Other <br /> Grundlos er/Absorbent Sock(circle one) <br /> Other emoved from Skimmer gal <br /> emoved from Well gal <br /> ct Transferred to <br /> Start Time (purge) <br /> 0631c. Weather Conditions G <br /> Sample Time/Date 0703 / 1-1.1 Water Color Odor /+-y <br /> Purging Flow Rate 1 J gpm_ Sediment Description `- <br /> Dud well de-water? >10 If yes,Time- Volume gal <br /> Time Volume H Conductirnty Temperature 00 ORP <br /> (2400 hr) (gal) p (umhos/cm) &/F) (mg/L) (mV) <br /> 06�5 11 -?.,fl 5 s /a-1 <br /> 7 q7 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (1f)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW- 1 x voa vial YES INCL STL Pleasanton TPH-G/BTEX/MTBE18 9&s(8260) <br /> x voa vial YES HCL STL Pleasanton Tertiary-butyl Formate,Tertiary-butyl <br /> Acetate,Acetone(8260) <br /> COMMENTS' <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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