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ARCHIVED REPORTS_XR0008832
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WATERLOO
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2358
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2900 - Site Mitigation Program
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PR0543607
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ARCHIVED REPORTS_XR0008832
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Last modified
10/10/2020 10:37:27 PM
Creation date
7/9/2020 10:16:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008832
RECORD_ID
PR0543607
PE
3528
FACILITY_ID
FA0006343
FACILITY_NAME
STOCKTON MOBIL 3*
STREET_NUMBER
2358
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14118221
CURRENT_STATUS
02
SITE_LOCATION
2358 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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DOIILOS ENVIRONMENTAI )OMPANY SA LING INFORMATION SHEET <br /> Client: UltpaD Sampling Date: <br /> Site: - Beacon #419 Project No. : 94-419-01 <br /> 2350 Waterloo Road Well Designation: MW_ <br /> Stockton, CA <br /> Is setup of traffic control devices requirdd? YES time: hours <br /> Is there standing water in well box? Y Above TOC Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked? N� If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV12" W, 12 Of EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI Other <br /> General condition of wellhead assembly: Excellent oo Fair Poor <br /> Purging Equipment: 2" disposable bailer x Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer:__SL± Teflon bailer: <br /> Well Diameter: 2" 4t' K 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0.65 1. 47 2 . 61 gal/ft. <br /> 10itial Measurement Regbarga Measurement <br /> Time: 53 b Time:, = Sq Calculated purge: f �t <br /> Depth of well, (-7 Depth to water: q 3 O Actual purge:_-7 1 <br /> Depth to water: a 0 , 1_ "')_ <br /> Start purge: 'g ; y/ Sampling time: q rot <br /> Time Temp. E.C. pH Turbidity Volume <br /> 8 = � 8 Cn �2 ' -7, 32- <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock #3753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) :,,_,_T <br /> Remarks: <br /> Sian�turP: ���i <br />
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