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ARCHIVED REPORTS_XR0005202
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_XR0005202
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Last modified
3/11/2020 5:57:33 PM
Creation date
3/11/2020 2:41:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005202
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
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SJGOV\sballwahn
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EHD - Public
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/ The <br /> 'irk <br /> Corporation ' <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Name I IS�,,_ <br /> .fob# c <br /> Date 4 <br /> Sampling Team <br /> (Names/Responsibilities) <br /> Purpose of Sampling India[ arterly Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME ' <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TQC to GW Depth Water Factor (Gallons) <br /> Initial ,S Is. Imo. S" <br /> Atter develop/purging 1t l(1 <br /> At time of Samplin2 l 1 Three Casing Volumes 3�,� Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire CSub Pump Bailer andpiper Other <br /> Method Description " ley <br /> Decontamination Method <br /> Water Containment rum baker tank other <br /> Labeled <br /> Pump Vol Water Temp hkV EC Observations <br /> Time Rate ExtractedF C H (color turbidityoils odor <br /> Start � t p q a II <br /> 58 1 21,Q 7-1-4,1 1 2S <br /> 1i0 S 2l1 -- --I ,q 2 <br /> t I t r. <br /> I <br /> SAMPLE INFORMATIONLab C:=:->«tz2�4 <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> -+- 'I Liter Amber— Ice and <br /> 40 ml Voa � - .t Ice and <br /> Other Ice and <br /> Time _ <br /> Device Disposable lbs eao Baller----� Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />
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