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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
Scanner
WNg
Tags
EHD - Public
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GETTLER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET t <br /> Client/Facility# CheyronTexaco #9-5775 Job Number 386408 <br /> Site Address 301"West Kettleman Lane Event Date a$ - p (inclusive) ' <br /> City Lodi, CA Sampler <br /> Well ID FX - Date Monitored -;L 2Q pj Well Condition <br /> fj ' <br /> Well Diameter _ (Fj It in <br /> FFactole;F) <br /> 314"=002 1"=004 2"-017 3"=038 <br /> Total Depth $p .p0 ft 4 0 66 5"=102 6"= 150 12'= 5 80 <br /> Depth to-Water== = =ft '= <br /> xVF x3(case volume)=Estimated Purge Volume gal <br /> Time Started (240 ) ' <br /> Purge Equipment Sampling Equipment Time Bailed 0 hrs) <br /> Disposable Baiter Disposable Bailer Depth to Product ft <br /> Stainless Steel Bailer Pressure Bailer Depth to Water , <br /> Steric Pump Discrete Bailer Hydrocarbon Thickn _ ft <br /> Suction Pump Cher Visual Confirtnatscnpdon <br /> orund(os <br /> Other Skimmer sorbani Sock(circle one) ' <br /> Amt ved from Skimmer gal <br /> emoved from Well gal <br /> roduct Transferred to <br /> Start Time (puree) Weather Conditions <br /> Sample Time/Date - 1/yr! 1 � ? Water Color a r,sr-2 Odor ^ ,mow <br /> Purging Flow Rate gpm Sediment Description ' <br /> Did well de-water? ,�,� If yes, Time Volume gal <br /> Time Volume Conductivity Temperature D O ORP ' <br /> (2400 hr) ( pH (umhostem) (CIF) (mg1L) (mV) <br /> ' <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> x Yoe vial YES HCL LANCASTER METHAN0LITPH-G(8015)fBTEX+MTBE <br /> 626OY8 OXYs(e260 <br /> COMMENTS- <br /> 00, <br /> i <br /> Add/Replaced Lock Add/Replaced Plug Size _ ` ' <br />
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