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ARCHIVED REPORTS_XR0008566
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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2537
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3500 - Local Oversight Program
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PR0545857
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ARCHIVED REPORTS_XR0008566
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Entry Properties
Last modified
10/10/2020 10:19:59 PM
Creation date
7/15/2020 2:59:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008566
RECORD_ID
PR0545857
PE
3528
FACILITY_ID
FA0005147
FACILITY_NAME
E-Z FOOD
STREET_NUMBER
2537
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
11914035
CURRENT_STATUS
02
SITE_LOCATION
2537 WATERLOO RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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PURGING AND SAMPLING LOG <br /> t <V vs MONITORING WELL <br /> Weil N <br /> Y Pro� ,rte ect No <br /> Pro�edName (-'csv�.e✓ � Sertle I O7]`-t 64 �,ZTfrZ_3,,-07$ <br /> PMect Address I Ctt I County <br /> T Z S 3-- �./.. P d. Sia t CA <br /> ON&NSE <br /> _ SIN,�,&5�.�1+II'�,1NG INS'I`IZU.M,�_� L - �-� �{.��:- <br /> " <br /> Water Level Meter(ModdaD) 561-_T Interface Probe(ModdlED) <br /> Water Quality Meer(Moddm) YSI 63 Decontamination Method 3-stage bucket (wash, tap rinse, DT rinse) <br /> Purging Method PVC Bailer Vacuum Truck Submersible Pump Other <br /> Sampling Method Teflon Baily X Disposable Bailer Other <br />' "Bo"reholeter(Circle) 8" 10" 12" Casing Diameter([little) 4 2" '4- ' 6" 12" 18" 24" <br /> Borehole Multiplier(BM)(goonshoot) 081 is 195 Casing Multiplier(CM)(gauons/root) 016 065 147 587 13.2 235 <br /> 1 <br /> Depth to Free Product(feet) Borehole Volumes(BV) S <br /> Depth to Water(DTW)(fed) S� �? WC x BM = (BVD x 15 BV(gat) <br />' Total Well Depth(feet) 6'1 r� Casing Volumes(CV) <br /> Water Cottamn(wc)(fed) 31 S Z WC 3 I,sZ x Civl I = y`� (cv)( x 3 o cv(tet) 1 S I Z <br /> Free Product Thickness(fed) Free Product Purged(gallons) <br /> g <br /> Cum Vol Purged El Conduattvtty Dissolved Turbidity Odor <br /> Time DTW 00 40—) Temp CC) PH (N m mhos) Oxygen(mg/L) (MJ) (Yes/No) <br /> 1-,5'5 Purging Start Time 26, 6 T S 6 l f f Alt <br /> Jul S 2o, :?- (090 Flo <br /> l �-- co Zee. �r S l(3 3 Alb <br /> 5'�r- or f S 2.0,5' -7. e 7 1 14Z A)U <br /> Total Gallons Purged <br /> t¢43 Purging End Time _-A a j <br /> Depth to Water [Q Sample Time(DTWs)445 5 <br /> Tune Sampled � �.,.. t .. <br /> Filtered Analytical Parameters <br /> Container Types,Volumes,&Quantities (Y�o) Sample Preservatives (cross-out au NOT appbmble) <br /> X 40 mL VOAs N Ice and HCl TPHg / BTEX / MTBE ✓ oXYs <br /> Maximum Drawdown(DTWm)(feet) Approximate Flow Rate(GPM) ti <br />' Recovery ( ) <br /> %Recovery =1- MIX-DTWs) x 100 Calculation %Recovery =1 x 100 <br /> (DTW-DTWm) <br /> Recovery Type <br /> Fast Slow r %Recovery= <br /> N �k <br /> ATC Representative(s) � <br /> Subcontractor <br />' Signature <br /> Date ` /�V <br />
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