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ARCHIVED REPORTS_XR0005390
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545495
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ARCHIVED REPORTS_XR0005390
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Last modified
3/10/2020 9:21:33 PM
Creation date
3/10/2020 4:34:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005390
RECORD_ID
PR0545495
PE
3528
FACILITY_ID
FA0006423
FACILITY_NAME
STOCKTON MOBIL 2
STREET_NUMBER
3440
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
3440 E MAIN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: <br /> SSite: Beacon #474 Project No. : 94--474-01 <br /> 3440 E. Main Street Well Designation: MW- <br /> Stockton, CA <br /> Is setup of traffic control devices required? !OO YES time: hours <br /> Is there standing water in well box? NO a Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked? NO S If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV 12" UV - 12" EMCO 8" BK <br /> 1211 BK 1.2" DWP 12" CNI 36" CNI Other <br /> General condition of wellhead assembly: Excellent oo Fair Poor <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer _Centrifugal pump <br /> Sampled with: Disposal bailer:_ Teflon bailer: <br /> Well Diameter: 2" 49F 6" 8" <br /> Purge Vol. Multiplier: 0 .16 0. 65 1.47 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measurement <br /> . Time: /O32 Time:_ Calculated purge: .7S. 7, <br /> Depth of well.--?'?,,?/ Depth to water: 67,$O Actual purge:_S_9.7 <br /> Depth to water: G7.37 <br /> Start purge:_ Sampling time: <br /> i <br /> Time Temp. E. C. pH Turbidity Volume <br /> z z6 1 73 7 l <br /> i <br /> hI q )70-7 1373 730 <br /> OL" 7-2-S <br /> U41 6k. / 3-56 71.2- <br /> I <br /> Sample appearance: c.2Gcn_ Lock: <br /> n <br /> i <br /> . ... Equipment replaced: (Check all that apply) Note condition of replaced item ' <br /> 211 Locking Cap: Lock #3753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: / <br />
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