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ARCHIVED REPORTS_XR0011994
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WILSON
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3500 - Local Oversight Program
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PR0545892
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ARCHIVED REPORTS_XR0011994
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Last modified
7/22/2020 2:55:54 PM
Creation date
7/22/2020 2:35:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011994
RECORD_ID
PR0545892
PE
3528
FACILITY_ID
FA0003601
FACILITY_NAME
ARCO STATION #826951*
STREET_NUMBER
130
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205-5561
APN
15502064
CURRENT_STATUS
02
SITE_LOCATION
130 S WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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I / <br /> DOULOS ENVIRONMENTAL COMPANY S.A. INFORMATION SHEET <br /> . Client: y-L Sampling Date: 6-zi-00 <br /> Site : Y` L `� 1 Project No . <br /> sa 1 ��0 .. Well Designation: MVV- 1 <br /> ��.. II�.l�1 �5 I •I -II�Y - I <br /> is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well box? 49 ES Above TOC Below TOC <br /> Is top of casing cut level.? NO If no, see remarks <br /> Is well cap sealed and locked? NO E If no, see remarks <br /> Height of well casing riser (in inches) ': <br /> Well cover type: 8" W 12" VV12" EMCO 8" BY <br /> 12" BK 12" DWP 12" CNI 36" CNI other.�z'M-F ` <br /> General condition of wellhead assembly: Excellent oo Fair Poor <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 211 PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer: Teflon bailer: <br /> Well Diameter: 2" 411 <br /> �_ 6" 8" <br /> . Purge Vol . Multiplier: 0 . 16 0. 65 1 . 47 2 . 63 gal/ft. <br /> Initial Measurement Recha cxe Measurement <br /> Time : Time: AIA Calculated purge: Iq• <br /> Depth of we 1: �#' � Depth to water: Actual purger <br /> Depth to water: <br /> Start purge : - Sampling time: <br /> Time Temp. E.C. pH Turbidity Volume <br /> 16 7 1� z`1 ld z <br /> f6 )_-�4 3400 13 <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 211 Locking Cap; Lock , 3753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/ 16 Bolt: <br /> j 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> I', Signature: <br />
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