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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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/ <br /> Pjr' k <br /> C o r p o r a t i o n <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Protect Name_{A,,Ed,- ti.L [�O <br /> Job# salaT-� <br /> Date l 4 " <br /> Sampling Team <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial uarteriy Verfication Other <br /> Weather Conditions <br /> IGROUNDWATER LEVEL/CASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> ' Time TOC to GW Depth Water Factor Gallons <br /> Initial 2 2 2 77 S <br /> After develo ! ur in f{ <br /> At time of Sampling t (nom f Three Casing Volumes -A 15 Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> jEquipment Swab-Aire Sub Pump Bader Sandpiper Other <br /> Method Description _ Z" <br /> Decontamination Method r (SD Ws- , <br /> Water Containment drums baker tank other <br /> Labeled r->Li, UZ <br /> T <br /> ' Purne Vol Water Temp EC Observations <br /> Time Rate Extracted F C p color turbidity oils odor <br /> Start 1 2 L4 1 <br /> 122 t5 2-1 0D.l <br /> 1219k t — t1r SIG <br /> l2t{ Lrto �l(a• �, <br /> SAMPLE INFORMATION <br /> Lab <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> l: - 1 Liter Amber Ice Ice and <br /> -;5 40 ml Voa Ice and <br /> Other Ice and <br /> Time <br /> Device Disposable Bailer✓ Other <br /> Pertinent Field Observations <br /> ' L <br /> Deviations from Standard Sampling Protocol <br />
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