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ARCHIVED REPORTS XR0003546
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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 XR0003546
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Last modified
6/21/2019 8:26:33 PM
Creation date
6/21/2019 4:22:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003546
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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EQUIVA WELL 110NIT0IZING DATA SHEET <br /> BTS14 .., ' _ Site <br /> Sample} S 1 .ar Date <br /> Well I D Well DlaMete1 2 3 4 ?,%-\8 <br /> Total Well Depth 6% Depth to Watet <br /> Depth to Ftee PlodLIct Thickness of Flee Piodttct (feet) <br /> Refetenced to P%,C Gude DO }Mete} (if lecl'(1) X51 1111( 11 <br /> Purge Method Bader Waterra Sampling }Method Ba1Ie1 <br /> Disposable Ballet Pel lataitic � Disposable Bader <br /> Mtddlehul2 E\tfactloll f 1n11p 60_� Ertlar-tton Polv_�' <br /> Ele(,t}Ic Submersible Odle? Dedicated Tubing <br /> Othel <br /> V01 Diameter _lsdtw ler Well I)Ianj tvtuttll,Irer <br /> 1 (1 04 -1 065 <br /> �— <br /> (Gals ) Y �^�— = Gals 2 016 6 147 <br /> 1 Case Volume s ectfied Volumes Calculated Volume 3 037 Uiher rndltrs'x o I63 <br /> Time Temp ("F) pH Cond TLUbidity Gals Removed Obseivations <br /> Did well dewate17 Yes _a— Gallons actually evacuated <br /> Sampling Time it 9140 Sampling Date Z_�_ o f <br /> Sample I D Labo1 atolly Ktff sequola Other <br /> Analyzed fol 1 PH-G 13TE, M. T TP1-1-D Othet i <br /> EB I D (if applicable) Time Duplicate I D (1f applicable) <br /> Analyzed fol TP11-0, BTEX MTBE TP11-D Other <br /> DO (1f 1ecl'd) Pre-purge "'g/L I„g/L <br /> Post-purge <br /> OR P (if}eq'd) Pie-putge mV 1. Post-ptttge tl <br /> BLAINE <br /> TECH SERVICES.. 1680 ROGERS AVE • SAM JOSE CA 95112 1105 • (408S 573 0555 • FAX u08) 573 77–r ^fI7=4f OR S LICEIISE 7 5584 <br />
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