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ARCHIVED REPORTS XR0000768
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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16470
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3500 - Local Oversight Program
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PR0544155
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ARCHIVED REPORTS XR0000768
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Last modified
2/15/2019 4:29:45 PM
Creation date
2/15/2019 2:04:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000768
RECORD_ID
PR0544155
PE
3526
FACILITY_ID
FA0000185
FACILITY_NAME
CITY GAS & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
02
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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WNg
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EHD - Public
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' GE T TL ER - RYA N INC. <br />' WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# CheyronTexaco #9-5775 .lob Number 386408 <br /> Site Address 301 West Kettleman Lane Event Date f I Z4 C9 ; inclusive) <br /> City Lodi, CA Sampler <br /> Well 10 mvi - tJ Date Monitored Well Condition p k-.. <br /> ' Well Diameter 2 " in <br /> Volume 3I4"=0 02 i'=0 04 2"=017 3"=0 36 <br /> 71 <br /> Total Depth {g j ;6f ft Factor(VF) 4"=0 66 Fe 1 02 6 1 50 12"= 5 80 <br /> Depth to Water 5-9 {j� ft_ <br /> j Z xVF f - 3 x3(case volume)=Estimated Purge Volume gal <br /> ' Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment Time Bailed (2400 hrs) <br /> Disposable Bailer � Disposable Bader Depth to Product ft <br /> Stainless Steel Bailer Pressure Sailer Depth to Water <br /> Stack Pump Discrete Bailer Hydrocarbon Thickness ft <br /> Visual Confirmation/Description <br /> Suction Pump Other <br /> Grundfos Skimmer/Absorbent Sack(circle one) <br /> Other. Amt Removed from Skimmer gal <br /> Amt Removed from Well gal <br /> Product Transferred to <br /> Start Time(purge) ii-g<- Weather Conditions �� frl o✓1�-! _ _ <br /> Sample Ttme/Date 1 1121LO Water Color �Q1a,r,J�J — Odor A30 <br /> Purging Flow Rate --- gpm Sediment Description <br /> Did well de-water's .� ,�t7 _ If yes, Time Volume gal <br /> ' Time VolumeConductivity Temperature DO ORP <br /> (2400 hr) (gal) pH (u mhoslcm) (C (mglL) (mV) <br /> I/ 3jr 29 <br /> r <br /> LABORATORY INFORMATION <br /> ' SAMPLE ID (#)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> M w - � x vea vial YES HCL LANCASTER METHANOLITPH-G(8015�STEX+f,ATBE <br /> �l (8260u8 OXYS(8260) <br /> ' COMMENTS 1¢ NO 14 d"Iele ,f�l� ffr'fic� <br /> ' Add/Replaced Lock Add/Replaced Plug Size <br /> 1 <br />
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