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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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EHD - Public
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GE TTL ER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# ChevronTexaco#9-5775 Job Number 386408 <br /> ' Site Address 301 West Kettleman Lane Event Date 4 1,a01.VIO3 (inclusive) <br /> City Lodi, CA Sampler ��,Zlav r <br /> ' red /O ,t O3 Well Condition Q <br /> Well 1D /yJ/S1 - � tate Monitored <br /> ' <br /> Well Diameter a in Volume 314"=0 02 1"=0 04 2"=0 17 3"=0 38 <br /> Total Depth 7'% (I ft Factor(VF) 4"=0 66 5"=1 02 6"= 1 50 12"= 5 60 <br /> Depth to Water 1p/. /9 ft <br /> >r xVF ••1 �__3•L�x3(case volume)=Estimated Purge Volume gal <br /> ' Time Started (2400 <br /> Purge Equipment Samplrng Equipment Time Bailed ( hrs) <br /> Disposable Bailer Disposable Bader Depth to Product ft <br /> Stainless Steel Bailer Pressure Bailer Depth to Water <br /> Stack Pump <br /> Discrete Hydrocarbon Th�ckne ft <br /> Suction Pump <br /> ther Visual Confirm Description <br /> ' Grundfos , Skimme rJAsorbant Sock(circle one) <br /> Otter ^� •� �4 � Ami aefnoved from Skimmer gal <br /> �— ArpMemoved from Well gal <br /> noduct Transferred to <br /> Start Time(purge) AAp(o _ Weather Conditions <br /> ' Sample TimelDate /a/ 1� .,,$a? 1 Water Color 7,a Odor &a <br /> Purging Flow Rate ! Z Spm Sediment Description <br /> Did well de-tenter? V,9 If yes,Time Volume gal <br /> tTime Volume Conductivity T tore 00 ORP <br /> (2400 hr (gal) pH (u mhoslcm) (� ( 10 (mV) <br /> ' LABORATORY INF OR AT�ON <br /> SAMPLE ID (#)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> _1 x voa vial YES HCL LAN6ASTER 8 60 8 OXYS(g2608o15yBTEX+MTBE <br /> I P +v <br /> ' COMMENTS i(Y�1fa<u. subrners:b tG #� arns�dc �1L1.! <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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