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ARCHIVED REPORTS_XR0008738
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_XR0008738
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Last modified
7/15/2020 10:43:51 PM
Creation date
7/15/2020 3:08:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008738
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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MONITORING WELL PURGING AND <br /> SAMPLING LOG <br /> _ Well No / <br /> Project Nam M J Project No J <br /> 3, 2 J - C�© <br /> ProjectAddress City County <br /> Water Level Meter(M.&MD) 4,'h�S Interface Probe(Modet/m} ^� <br /> Water Quality Meter(Nl."M) 'o Decontamination Method 3-stage bucket (wash, tap rinse, DI rinse) <br /> Purguig Method PVC Bailer _V um Truck _Submersible Pump Other <br /> Sampling Method Teflon Bailer Disposable Bailer _Other <br /> Borehole Diameter(Circle) 8" 10" 12" Casmg Diameter(Circle) 2" 4^ 6" 12" 18" 24" <br /> Borehole Mulupher(BM)(gallonshoot) 081 1 5 195 Casing Multiplier(CM)Cpflons/root) 4 65 147 587 132 23 5 <br /> Depth to Free Product(feet) Borehole Volumes(BV) <br /> Depth to Water(DTWxfect) 5'.'7e WC xBM _ (BV)(xal} x 15 BVW) <br />' Total Well Depth(feet) r t 3S Casing Volumes(CV) <br /> WaterColumn{WC}(feet) WC ] x CM Q, _ ,q (CV)(xal) x 3 0 CV L�D <br /> Fres Product Thickness(feet) Free Product Purged(gallons) <br /> Clue Vol Purged Electric C ducuvity Dissolved Turbidity Odor <br /> T DTW(d) °�) T H <br /> emp(°c} p (H m os) Oxygen(mg/L} (ivl g (Yes/No) <br /> Purging Start Time 1 1916 <br /> d 3 Z 0, -�1 °6 j 0'&r -_ <br /> Total Gallons Purged <br /> 09031 Purging End Time <br /> Time Sampled [� Depth to Water @ Sample Time(DTWs) <br />' Filtered Analytical Parameters <br /> Container Types,Volumes,&Quantities 6—/m) Sample Preservatives (cross-out alt NOT apph-ble) <br /> { x 40 mL VOAs N Ice and HC1 TPHg / BTEX / MTBE / OXYs l[ <br /> r3G.'Yn <br /> Maximum Drawdown(DTWm)(feet) Approximate Flow Rate(GPM) <br /> Recovery <br /> %Recovery 1- DTW-DTWs) x 100 Calculation o ( ) <br /> (DTW-DTWm) /o Recovery =1 ( ) x 100 <br /> Recovery Type Past Slow o <br /> /o Recovery= <br /> . ATC Representative(s) <br /> Subcontractor <br /> Signature Date -- 61176 3 _ <br />
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