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ARCHIVED REPORTS XR0003059
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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K
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KETTLEMAN
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301
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2900 - Site Mitigation Program
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PR0508132
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ARCHIVED REPORTS XR0003059
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Entry Properties
Last modified
10/10/2018 9:00:40 AM
Creation date
10/10/2018 8:21:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS XR0003059
FileName_PostFix
XR0003059
RECORD_ID
PR0508132
PE
2957
FACILITY_ID
FA0007953
FACILITY_NAME
CHEVRON #9-5775
STREET_NUMBER
301
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04514002
CURRENT_STATUS
01
SITE_LOCATION
301 KETTLEMAN LN
P_DISTRICT
004
QC Status
Approved
Scanner
TMorelli
Tags
EHD - Public
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WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Chevron Facility Job#. SAN(oq D <br />Address: 301 w2S+ Fes[ -Q t arLkDate: In 11q <br />City- __�� _ �'� _ Sampler: et <br />Well ID 111\(- _ Well Condition. <br />Well Diameter Hydrocarbon Amount Bailed <br />(05. <br />5 c [� Thickness (productlwater) ipaLi <br />Total Depth _ ..] 1 VOID 2"= 0 17 3"- 0.38 4"- 0 66 <br />Depth to Water Facuw (VF) 6"= 1.50 12"- 5 80 <br />Purge <br />Equipment: <br />X VF <br />Disposable Bailer <br />Bailer <br />Stack <br />Suction <br />Grundfos <br />Other. <br />= X 3 (case volume) = Estimated Purge Volumenal_i <br />Sampling <br />Equipment: Disposable Bailer <br />Bailer <br />Pressure Bailer <br />Grab Sample <br />Other: <br />is Ste ng Time- Weather Conditions. <br />Sample Time: Water Calor. Odor. <br />Purging R Rate. GPM Sediment Descnption: <br />Did well de-wa`6ar7 If yes; Time: Volume: (gs1.1 <br />Time Va( pH CanduWMly Tem (mBti} {mVi (pUn <br />fty <br />( fes) w <br />SAMPLE ID (A - CONTAINER REFRIG <br />COMMENTS - <br />TORY INFORMATION <br />TRESERV TYPE LABORATORY ANALYSES <br />8197416kW *M <br />
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