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ARCHIVED REPORTS XR0000769
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CAMBRIDGE
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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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Entry Properties
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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GETTLER — RYA N INC. <br />' WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# ChevronTexaco #9-5775 .fob Number 386408 <br />' Site Address 301 West Kettleman Lane Event Date /p - a$lo3 (inclusive) <br /> City Lodi, CA Sampler <br /> Well ID - pate Monitored Well Condition <br /> Well Diameter in <br /> Volume 314'=0 02 1"n 0 04 2"=0 17 3"=0 38 <br /> Total Depth (o 3b ft Factor(VF) 4"=0 66 5"=1 02 6"= 1 50 12"= 5 80 <br /> Depth to Water _ / 1/0 ft <br /> t <br /> -�— �� <br /> xVF � x3(case volume)=Estimated Purge Volume 1 �y gal <br />' Time Started (2440 h ) <br /> Purge Equipment Sampling Equipment Time Bailed (240 12) <br /> ' Disposable Bailer Disposable Bailer Depth to Product ft <br /> Stainless Steel Bader Pressure Bailer Depth to Water 19 <br /> Stade Pump Disgrete Bailer Hydrocarbon Thicknes 4� ft <br /> Suction Pump then �[Ay Visual Confirmatro ! scnpbon <br /> Skimmer!Ai6sorbant Sods(circle one) <br /> Ons Amt R oved from Skimmer gal <br /> Amt Removed from Well gal <br /> ' Product Transferred to <br /> Start Time(purge) Weather Conditions <br /> ' Sample Time/Date I Lt 3 /1 $•03 Water Color Odor iUd <br /> Purging Flow Rate gpm Sediment Descnption <br /> Did well de-water? If yes,Time Volume gal <br />' Ttme Volume pH C ondudivity TemQ O ORP <br /> (2400 hr) (gal) (a mhoslcm) (� ( ) (mV) <br /> slftr_ " <br /> LABORATORY INFORMATION <br /> SAMPLE ID {#)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> new - QA (P x voa vial YES HCL LANCASTER METHAN0IJTPH-Q8015yBTEX+MTBE <br /> (8260Y8 OXYS(8260 <br />' COMMENTS <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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