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ARCHIVED REPORTS_XR0009221
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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TILLIE LEWIS
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1444
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2900 - Site Mitigation Program
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PR0540506
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ARCHIVED REPORTS_XR0009221
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Last modified
6/11/2020 12:31:58 PM
Creation date
6/11/2020 12:18:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009221
RECORD_ID
PR0540506
PE
2950
FACILITY_ID
FA0023166
FACILITY_NAME
MONBERG PROPERTY
STREET_NUMBER
1444
STREET_NAME
TILLIE LEWIS
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
16335003
CURRENT_STATUS
01
SITE_LOCATION
1444 TILLIE LEWIS DR
P_LOCATION
01
QC Status
Approved
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EHD - Public
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d ,I Purge Log Form <br /> Protect Name--Lgl; he k.7 Protect Number �"� Site Location -5Jnc-K la <br /> • Well No lte 3 Date J Z z acl _ Field Tech 5 <br /> ga <br /> Total Depth 30.&q Depth to water 1Z LB Water Column Length, 6 Z 1 - <br /> Casing Diameter 7- Casing Factor •IT Volume Calculation /t LL1•_11 <br /> Total Purge Volume- ID Casing volumes Produced 3 �Z Pump Type <br /> PH Meter ,i Calibrated rY r N Cond Meter�_ Calibrated(-Vor N <br /> Temp Meter Turbidity Meter A Calibrated Y or N <br /> [Casing Factor 2"= 17 3"=38 4"=66 5"=1 02 6"=1 5 8"=2 6 (In Gallons per linear fool)] <br /> Time Prod, Rate Gallons(total) DTW Ph FC Temp VQ Turbidity Comment4 <br /> ILog `z1s Z�IS ( z 03 6 51- (91-5 (ser" rl !� ��,.� �•, <br /> Z( Z c6(r [ el 6 c44 t,r <br /> Storage or Disposal Method lraccc Total Drums Onsite <br /> Percent Recharge Prior to Sampling 1 00 o Sample Collection Method (OO.Se 615, r _ <br /> Sample Labeled:_w(,.,I Sample Time 3y3 Laboratory'.. wN, Q La L) S <br /> Analysis aTA n.d 1-.3 _ _ No of Containers <br /> Duplicate Trip Blank Rinsate Blank <br /> Comments' <br />
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