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ARCHIVED REPORTS_XR0006367
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006367
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Entry Properties
Last modified
4/7/2020 1:04:56 PM
Creation date
4/3/2020 4:42:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006367
RECORD_ID
PR0528433
PE
2957
FACILITY_ID
FA0019174
FACILITY_NAME
CHEVRON SERVICE STATION 9-6171
STREET_NUMBER
6633
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741048
CURRENT_STATUS
02
SITE_LOCATION
6633 PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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6E T TL ER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> —Cl lent/Faclllty#—CheyronTexaco-#9=6171"" ob'Number—385121 <br /> Site Address 6633 Pacific Avenue Event Date y =; ,�3�� (inclusive) <br /> City Stockton, CA Sampler <br /> Well 1D MW- 9 Date Monitored y y a,e, Well Condition e <br /> Well Diameter14 1 6 In <br /> Volume 314"=0 02 1"=004 2"=0 17 3"=0 38 <br /> Total Depth er 7a- ft Factor(VF) 4"=0 66 5"=102 6 1 50 12"= 5 80 <br /> Depth to Water tLfia p-4"9- ft <br /> xVF - x3(case volume)=Estimated Purge Volume gal <br /> Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment Time Bailed (2400 hrs) <br /> Disposable Bader Disposable Baiter Depth to Product ft <br /> Stainless Steel Bader Pressure Bailer Depth to Water <br /> Stack Pump Discrete Bailer Hydrocarbon Thickness ft <br /> Suction Pump Other Visual Confirmation/Descnption <br /> Grundfos <br /> Skimmer!Absorbant Sock(circle one) <br /> Other Amt Removed from Skimmer gal <br /> Amt Removed from Well gal <br /> Product Transferred to <br /> Start Time (purge) Weather Conditions Cr@Q-f <br /> Sample Time/Date = / Water Color_ _ __ Odor <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) (gal} pH (u mhoslcm) (CIF) (mglL) (mV) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#) CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW- x voa vial YES HCL LANCASTER— TPH-G(8015)lBTEX+MTBE(8260}-OR— <br /> - MW- - x voa vial YES -HCL LANCASTER METHANOLITPH-G(8015)/BTEX+MTBE <br /> (8260)18 OXYS(8260) <br /> COMMENTS IOL 1-q <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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