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ARCHIVED REPORTS_XR0006367
EnvironmentalHealth
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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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SJGOV\sballwahn
Tags
EHD - Public
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91 6ETTLER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# ChevronTexaco W;6171 .lab Number 385127 <br /> Site Address 6633 Pacific Avenue Event Date bra.- -f {inclusive} <br /> City Stockton, CA Sampler 1121 <br /> Well ID MW- /3 Date Monitored 44 Well Condition e&1 - <br /> Well Diameter al 4 1 6 in <br /> Volume 3I4"=0 02 1"=0 04 2"=0 17 3"=0 38 <br /> Total Depth 39 4*3 ft Factor(VF) 4"=0 66 5"=102 6"= 1 50 12"= 5 80 <br /> Depth to Water ft <br /> xVF = x3(case volume)=Estimated Purge Volume gal <br /> Time Started (2400 hrs) <br /> Purge Equipment Sampling EquipmentTime Bailed (2400 hrs) <br /> Disposable Baiter Disposable Bailer Depth to Product ft <br /> Stainless Steel Bailer Pressure Bader Depth to Water fl <br /> Stack Pump Discrete Bailer Hydrocarbon Thickness ,6-" ft <br /> Suction Pump Other Visual Confirmation/Description <br /> Grundfos <br /> Other Skimmer 1 Absorbent Sock(circle one) <br /> Amt Removed from Skimmer gal <br /> Amt Removed from Well gal . <br /> Product Transferred to <br /> Start Time (purge) Weather Conditions w t-m-,r <br /> Sample Time/Date — 1 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) pN (u mhos/cm) IVF) (mg/L) (mV) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#) CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW- x voa vial YES HCL LANCASTER TPH-G(8015)/BTEX+MTBE(8260)-OR- <br /> - `- MW-— — x voa vial YES HCL- LANCASTER METHAN0UTPH-G(8015)/BTEX+MTBE— - <br /> (8260)I8 OXYS(8260) <br /> COMMENTS <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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