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ARCHIVED REPORTS XR0000771
EnvironmentalHealth
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16470
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3500 - Local Oversight Program
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PR0544155
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ARCHIVED REPORTS XR0000771
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Last modified
2/15/2019 5:26:59 PM
Creation date
2/15/2019 2:09:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000771
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
Tags
EHD - Public
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GE T TL ER - RYA N INC. <br /> WELL MONITORING/SAMPLING • <br /> FIELD DATA SHEET ' <br /> Client/Facllity# ChevronTexaco #E9-5775 Job Number 386408 <br /> Site Address 301"West Kettleman Lane Event Date -„J-Ag - (inclusive) ' <br /> City Lodi, CA Sampler <br /> Well ID - Date Monitored �"01T-X13 Well Condition 14: ' <br /> Well Diameter in <br /> Volume 314"=0 02 1'u 044 2"=4 17 3'=0 38 <br /> Total Depth ft Factor(VF) 4"=0 66 5"- 102 6 1 50 12"= 5 80 ' <br /> Depth to Water <br /> xvr _ j:�A x3(case volume)=Estimated Purge Volume 21.1140 gal <br /> Purge Equipment Sampling Equipment Time Started (2400lhrs) ' <br /> Time Bailed (2 <br /> Disposable Bailer Disposable Bailer _ Depth to Product <br /> Stainless Steel Bailer Pressure Bader Depth to Water <br /> Stade Pump 4� Discrete Hader Hydrocarbon Thickness ' <br /> Suction Pump Other Visual ConFirmat�o cription <br /> Grundfos <br /> Other Skimmer!A rbant Sock(circle one) <br /> Amt Rem ed from Skimmer gal <br /> Amt 5efhoved from Well gal <br /> P uct Transferred to <br /> Start Time (purge) _IYIK W other Conditions <br /> • r <br /> Sample Time/Date VjA 1 Water Color Odor <br /> - Odor - <br /> Purging Flow Rate ?— gprn ediment Description ' <br /> Did well de-water? "Ove If yes, Time Volume gal <br /> Time Volume H Conductivity Temperature D O ORP ' <br /> (2400 hr) (gal) p (umhoslcm) (19)F) (mglL) (mV) <br /> 1412.0 .zz �� a3. f1 <br /> Jla- <br /> f <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> & x voa vial YES HCL LANCASTER METHAN0LrrPH-G(8015)IBTEX+MT8E <br /> (8260)18 OXYS(8260) <br /> COMMENTS• <br /> Add/Replaced Lock -Add/Replaced Plug Size <br />
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