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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
Tags
EHD - Public
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/ The <br /> Pjrk <br /> Corporation <br /> WELL DEVELOPMENT/SAMPLING ' <br /> S MPLING DOCUMENTATION FORM 4 <br /> Project Name h 4 ,L_ I <br /> Job# °-- --•--- <br /> Date t 1 24 a <br /> Sampling Team <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial Quarterly Verfication Other , <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Total Feet of Conversion CasingVolume <br /> Time TOC to GW Depth Water Factor (Gallons) <br /> Initial 0 <br /> After develop/purging ' <br /> At time of Sam ling \ 1,(p,L{ Three Casing Volumes Gals <br /> El Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pump Batler Sandpiper Other ' <br /> Method Descnption <br /> Decontamination Method � <br /> Water Containment �i rums baker tank other <br /> Labeled <br /> Pum Vol Water Tem EC Observations <br /> Time Rate Extracted F os --(Color turbid oils odor <br /> Start t O 2{rC7 lSPr <br /> i <br /> �5- <br /> 1 <br /> Lab <br /> SAMPLE INFORMATION <br /> �����. <br /> Sampling Containers/Number of Containers/Analysis Preservation Description ' <br /> 1 Liter Amber p <br /> Ice and <br /> 40 ml Voa Ice and <br /> Other Ice and <br /> Time _ <br /> Device Disp Ibo as e5 Bailer✓ Other <br /> Pertinent Field Observations I <br /> LtA <br /> ' Lac otl� <br /> Deviations from Standard Sampling Protocol <br />
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