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ARCHIVED REPORTS_XR0008568
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_XR0008568
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Last modified
7/15/2020 9:06:49 PM
Creation date
7/15/2020 3:00:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008568
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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l <br /> pTSAMPLING LOG <br /> MONITORING WELL PURGING AND <br /> 1 <br /> 0 Well No <br /> ProjectName U QQ G� Project No <br /> lProject Address/City/Coimty <br />' Water Level Motor(mtodevm) Heron Interface Probe(modeum) <br /> Water Quality MeterNodcum) $yDac DecontauuuatimMethod 3-stage bucket (wash, tap rinse, DI rinse <br />' Purging Method X PVC Bailer Vacuum Truck Submersible Pump Other <br /> Samphng Mahod Teflon Bailer X Disposable Barley Other <br />' Borchole Diameter(Circle) 8" 10" 12" Casmg nameter(Circle) 4" 6" 12" 18" 24" <br /> Borehole Multiplier(BMxganonshoot) 081 15 195 Casmg Multiplier(CM)(ganonshoo 016 065 147 587 1.32 2351 <br /> 6 <br />' Depth to Free Product(feet) Borehole Volumes(BV) — <br /> Depth to Water(DTWxfeet) _35 WC x BM (BV)6A x 15 BV(gat) <br /> Total Well Depth(feet) 7 Casing Volumes(CV) <br />' Water Column(WC)(feet) 3Y-�5 WC 3175 x CM D AR = J (CV)(ga0 x3 0 CV(gat) 1�5 <br /> Free Product Thickness(feet) Free Product Purged(gallons) <br />' Cum.Vol Purged Electric Conductivity Dissolved Turbrdrty odor <br /> Tune DTW(s) (gam ) Temp Cc) pH (W orm mhos) Oxygen(mg/L) (]vil)f (Y-/No) <br /> YSPurging Start Time <br /> �o IS 71- f -710 /a <br /> t Total Gallons Purged <br /> /00tp-rging.End Time <br /> 1 Tune Sampled 15Y5 Depth to Water(d Sample Time(DT Ws) <br /> Filtered Analytical Parameters <br /> Container Types,Volumes &Quantities (y-/no) Sample Preservatives (cross our aU 1�applicable) <br /> x 40 mL VoAs N Ice and HC1 TPHg / BTEX / MTBE / oXYs <br />' Maiumum Drawdown(DTWm)(feet) Approximate Flow Rate(GPM) <br />' <br /> (DTW-DTWs) Recovery <br /> %Recovery =1- (DTW-DTWm) X100 Calculation %Recovery =1 X100 <br /> Recovery Type Fast _Slow %Recovery= <br /> kiii <br /> ATC Represetitative(s) <br />' suboontractor <br /> Signature ,r Datel C� <br />
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