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ARCHIVED REPORTS XR0003488
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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2575
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2900 - Site Mitigation Program
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PR0541989
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ARCHIVED REPORTS XR0003488
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Last modified
6/21/2019 10:08:51 PM
Creation date
6/21/2019 3:45:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003488
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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I <br /> SHELL WELL MONITORING DATA SHEET <br /> BTS #: Site: 10Y1eV&1ef71 <br /> r <br /> Sampler: ZiV Date: j G, <br /> Well I.D.: 100—f-I Well Diameter: 2 3 6 8 <br /> Total Well Depth (TD): Depth to Water(DTW): C� <br /> Depth.to-Free Product: Tluckness=of=FreeTroduct (feet): <br /> Referenced to: Grade D.O. Meter (if req'd): YSl HACH <br /> DTW with 80% Recharge [(Height of Water Column x 0.20) +DTW]: y <br /> Purge Method: Bailer Watenm Sampling Method- Bailer <br /> a�G Disposable Bailer Penstaltic Disposable Bailer <br /> Middleburg / Extraction Pump Extraction Port <br /> Electric Submersible weother Dedicated Tubing <br /> Other <br /> Wall li lier Kell Diumder MmIliviler. <br /> t" 004 4" 063 <br /> f� (Gals)X Gals. z' 016 G" <br /> 147 <br /> 1 Case Volume Specified Volumes Calculated Volume 3" U 37 oltur radlu�*a 163 <br /> Cond. Turbidity <br /> Time Temp (°F) pH (ms 01!3gD (NTUs) Gals. Removed Observai tons <br /> Did well dewater7 Yes o Gallons actually evacuated: <br /> Sampling Date: Sampling Time: 7 � Depth to Water: <br /> Sample I.D.. Iv Laboratory: Ifi: SPL other <br /> Analyzed for: H-G CjffMD TPH-D Other: <br /> EB I.D. (if applicable)- @ Twe Duplicate I D (if applicable): <br /> Analyzed for: TPH-G BTEX MT13E TPH-D Other- <br /> D.O. (if req'd): Pre-purge: "*/L Post-Purge' r%/L <br /> O.R.P. (if req'd): Pre-purge' mV Post-purge. n1V <br /> Blaine Tech Services, Inc. 168U Rogers Ave., San Jose, CA 95112 (800) 5457558 <br />
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