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ARCHIVED REPORTS XR0003743
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 XR0003743
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Last modified
6/21/2019 9:32:03 PM
Creation date
6/21/2019 4:40:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003743
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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1a <br /> SHELL WELL MONITORING DATA SHEET <br /> Project #: y 7 -L 7, WIC #: <br /> Sampler: TF Date: <br /> Well I.D : Well Diameter: 2 3 4 6 8 <br /> Total=Well=Depth: Depth=to Water:—/z,:r _ <br /> Depth to Free Product: Thickness of Free Product (feet): <br /> Referenced to: (EE) Grade D.Q. Meter (if req'd): YSI HACH <br /> Wgjl DiameteMultiplier Well Diameter Multls2her <br /> r 016 5" 102 <br /> 3" 037 6" 147 <br /> 4" 065 Other radius'*0 163 <br /> Purge Method. Bailer Sampling Method Bailer <br /> Middleb rg Extraction Port <br /> Electric Subme 2ble Other �., , <br /> Extraction Pu <br /> Other <br /> X — Gals . <br /> 1 Case Volume(Gals) Specified Volumes CaIcuIated Volume <br /> Time Temp (°F) pH Cond. Turbidity GaIs Removed Observations <br /> Did well dewater? Yes No Gallons actually evacuated: <br /> Sampling Tune: �1f Sampling Date: <br /> Sample I.D.: uj7z r� Laboratory: uol Crosby <br /> Analyzed for: x-G BTEX TPH-D Other: Ox ct-7 <br /> Equipment Blank I.D.: @ Duplicate I.D.: <br /> Analyzed for: TPH-G BTEX MTBE TPH-D Ocher: <br /> D.O. (if req'd): Pre-purge Post-purge >9I <br />
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