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ARCHIVED REPORTS XR0000769
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 XR0000769
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Last modified
2/15/2019 4:51:26 PM
Creation date
2/15/2019 2:06:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000769
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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6ETTLER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> C1ient/Facility# ChevronTexaco #9-5775 Job Number 386408 <br />' Site Address 301 West Kettleman Lane Event Date /p /a / (inclusive) <br /> City Lodi, CA Sampler Af. <br /> Well ID /'rJDate Monitored pp Well Condition <br /> ' Well Diameter in <br /> Volume 3I4"=0 02 1'=0 04 2"=0 17 3'=0 38 <br /> Total Depth ft I Factor(VF) 4"=0 66 5"= 1 02 6"= 1 50 12= 580 <br /> Depth to Water 41 ft <br /> 8 xVF— '��—_ /`• x3(case volume)=Esbmated Purge Volume 19w2 gal <br /> Time Started {2400 hrs) <br /> Purge Equipment Sampling Equipment Time Bailed 12400 hrs) <br /> Disposable Bailer ✓ Disposable Baiter ✓ Depth to Product. ft <br /> ' Stainless Steel Barter " Pressure Bailer Depth to Water <br /> SHydrocarbon Thlckness,� ft <br /> Stock rump Discrete Bailer <br /> Visual ConfirmationtDescription <br /> Suction Pump Other <br /> Grundfos Skimmer I Absorbent Sods(circle one) <br /> Other Amt Removed from Skimmer gal <br /> Amt Removed from Well gal <br /> Product Transferred to <br /> Start Time(purge) LiLif 44 — Weather Conditions e" <br /> ' Sample Time/Date 57i- I f i410. Water Color Odor ,nD <br /> Purging Flow Rate gpm Sediment Description <br /> Did well de-water? nQ _ if yes,Time _ Volume gal <br /> Thne VolumeConductivity Tem� D O ORP <br /> 2400 hr (gal) pH (umhoslcm) [Marl 0911-) (mv)q9 _ . <br /> iso r _ _. �• �• - <br /> i <br /> ' LABORATORY INFORMATION <br /> SAMPLE ID 0)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> x voa vial YES HCL LANCASTER (826OVMETKAOXYS(82,60) 15yBTEX+MTBE <br /> fv (8260)18 OXY 8260) <br /> ' COMMENTS <br /> Add/Replaced Lock <br /> Add/Replaced Plug Size <br />
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