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ARCHIVED REPORTS_XR0008736
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_XR0008736
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Last modified
10/10/2020 10:30:26 PM
Creation date
7/15/2020 3:06:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008736
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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s°GtAT MONITORING WELL PURGING AND SAMPLING LOG <br /> _ <br /> F1-1No / <br /> Proled Nam MC C]��J� Pro'e t No <br /> J 3, 2,59Z?-- cDOC— <br /> Prod ect Address/City./County <br /> 1766 <br /> Water Level Meter( .&MD) Interface Probe(modem) <br /> Water Quality Meter(ModellID) 35�� Decontamination Method 3-stage bucket (wash, tap rinse, DI rinse) <br /> Purging Method PVC Bailer Vj&uum Truck Submersible Pump Other <br /> Sampling Method Teflon Bader JZD.sposable Bailer _Other <br /> Borehole Diameter(0mle) 8" lo" 12" Casmg Diameter(Circle) 2" 4" 6" 12" 18" 24" <br /> Borehole Multiplier(BM)(gallanshoot) 081 15 195 Casing Multiplier(CM)(gOons/mot) 0 65 147 587 132 235 <br /> Depth to Free Product(feet) Borehole Volumes(BV) <br /> Depth to Water(DTW)(fect) WC xBM = (BV)(gal) x 15 BV(gat) <br /> Total Well Depth(fed) <br /> If 35 Casing Volumes(CV) <br /> Water Column(WCxfeet) 9 WC ,&9—x CM a' 1(Q = �4 (CV)W) x3 0 CV(tet)'2.D 3 <br /> Free Product Ihidmess(feet) Free Product Purged(gallons) <br /> Cum Vol Purged Electnc C dudivity Dissolved Turbidity Odor <br />�• Time DTW(it) (gallons) Temp CC) PH (v o.n os} Oxygen(mgv (NILi) (Yes/No <br /> Purging Start Time <br /> 4 1 19. Or <br /> 01100 z �o CJ Cir 6 <br /> (9 901 3 Znt ! -� ' C; l C,6 <br /> 00q0j 10, 1 7.3 7- 1 <br /> S. <br /> Total Gallons Purged <br /> Purging End Trine <br /> Tune Sampled 0 9 Depth to Water @ Sample Time(DTWs) <br /> Fihered Analytical Parameters <br /> Container Types,Volumes,&Quantities Sample Preservatives (cross out 4NOT apphcabie) <br /> 3 X 40 mL V}}OAs N Ice and HCl TPHg / BTEX / MTBE / OXYS (� <br />' Maximum Drawdown(DTWm)(feet) Approximate Flow Rate(GPM) <br /> (DTW-DT Ws) Recovery ( ) <br /> %Recovery =1- x 100 Calculation %Recovery =1 x 100 <br /> (DTW-DTWm} ( - ) <br /> Recovery Type _Fast Slow o <br /> /o Recovery= <br /> ATC Representative(s) <br /> Subcontractor <br /> 5tgnature Date _ ALL-7Q3 <br />
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