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ARCHIVED REPORTS_XR0008570
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_XR0008570
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Last modified
7/15/2020 4:55:00 PM
Creation date
7/15/2020 3:01:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008570
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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Y <br /> t1 IfT MONITORING WELL PURGING AND SAMPLING LOG <br /> 1 <br /> Well No VW-2 <br />' Project Name E-Z Serve Location No 100966 Projed No 43 25827 0026 <br /> Project Address 1 City I County 2537 Waterloo Road,Stockton,California <br /> tWater Level Metes'(ModdgD) ATC-1 Interface Probe(Modevm) NIA <br /> Water Quality Mater(Moddm) HYDAQ Decontammation Method 3-stage bucket (wash, tap rinse, DI rinse) <br /> Purging Method PVC Bailer Vacuum Truck Submersible Pump Other <br /> Sampling Method Teflon Bader Y Disposable Bailer _Other <br /> Borehole Diameter(Circle) S. 10" 12" Casing Diameter(Circle) 2" 4" 6" 12" 1S" 24" <br /> Borehole Multiplier(BM)(gaIlons r°°t} 0 SI 1 5 195 Casing Multiplier(CM�auonshvat} 016 0 65 147 587 13-2 23 5 <br /> Depth to Free Product(fed) Borehole Volumes(BV) <br /> Depth to Water(DTW)(fed) WG x BM — (BV)(ga) x 15 BV(gal) <br />' Total Well Depth(fed) L Casing Volumes(CV) <br /> Water Column(WC)(feet) (I WC /� ! x CM �il = �-- (CV)(gal) x 3 4 CV(gal) <br />' Free Produd'I1itc3mess(fed) Free Product Purged(gallons) <br /> Cum Vol Purged Electric Conductivity Dissolved Turbidity Odor <br /> Time DTW(ft) (90—) Temp Cc) pH (u orm mhos) Oxygen(nw/L) �n (Yes/No) <br /> Purging Start Time <br /> 7Z- -7 z <br /> L /7 L -7 r? o z Z <br />' Total Gallons Purged <br /> Ov rr q) Purging End Time <br />' Depth to Water @ Sample Trine(DTWs) 151 <br /> Time Sampled Q c/ <br /> Filtered Analytical Parameters <br />' Comtamer Types,Volumes,&Quantities (y-fn°) Sample Preservatives (crosscut all NOT apphmble) <br /> 6 x 40 mL VOAS N Ice and HC1 TPHg TPHd BTEX MTBE OXYs <br /> Maximum Drawdown(DTWm xfeet) Approximate Flow Rate(GPM) <br />' Recovery 1 } <br /> DT(- W-DTWS) x 100 Calculation %Recovery =I x 100 <br /> %Recovery =1- (DTW-DTWm) ( ) <br />' Recovery Type Fast Slow %Recovery= <br /> ATC Repress aitative(s) MR&TM <br /> Subcontractor <br /> Signature Date <br /> 1 <br />
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