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ARCHIVED REPORTS_XR0005196
Environmental Health - Public
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EHD Program Facility Records by Street Name
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M
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MARIPOSA
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2132
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2900 - Site Mitigation Program
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PR0541650
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ARCHIVED REPORTS_XR0005196
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Entry Properties
Last modified
3/11/2020 4:48:38 PM
Creation date
3/11/2020 2:39:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005196
RECORD_ID
PR0541650
PE
2960
FACILITY_ID
FA0023868
FACILITY_NAME
FORMER USA GASOLINE SERVICE STATION 110
STREET_NUMBER
2132
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
1730635
CURRENT_STATUS
01
SITE_LOCATION
2132 E MARIPOSA RD
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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ULU[� ENGINEERING. ,..0 <br /> ACE#27011 Lic #537801 <br /> 8084 Old Auburn Rd,Suite E. Citrus Heights,CA 95610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name Job# Well# <br /> Date 10 a�-- <br /> Sample ID.� ^�? - <br /> Sampling Team Ole <br /> Purpose of Sampling ❑Initial AQuarterly ❑ Verification ❑ Other <br /> Weather Conditions <br /> 1 GROUNDWATER LEVELICASING VOLUME <br /> Depth Conversion bouime <br /> Description Time (TOC to GW) Total Depth Feet of Water Factor <br /> ft to als allons) <br /> Initial �p 9-:4 <br /> After Development/ <br /> PIt` 13,5 <br /> l <br /> At Time of ��� rr -- �l[ Three Casing Volumes his Gals <br /> Sampling LSA ( � Ten Cas:ng Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Submersible Pump ❑ Bailer ❑ Sandpiper ❑ Other <br /> Method <br /> Uescnipton <br /> Decontamination Method f aNl� <br /> escnption <br /> 14`Containment Drums ❑ Baker Tank ❑Treatment ` <br /> System ❑ Other <br /> Labeled <br /> Start Time Volume Water Temperature EC Observations <br /> Enacted °F11C (umhos) pH (Color,Turbitity,Oils,Odor) <br /> I i a �r2 <br /> � i 7-2- <br /> k I eIP <br /> 2Ileo QD <br /> I <br /> SAMPLE INFORMATION <br /> Lab t��. <br /> Sampling Containers/No of Containers Preservation <br /> El 1 Altar Amber Ice Other <br /> ml VOA —t-7-1 Other Ace Other <br /> ❑ Ice Other <br /> Deviceailer Disposable 1:1 Other <br /> F <br /> Pertinent id Observations <br /> I <br /> ons From Standard Sampling Protocol <br />
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