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ARCHIVED REPORTS_XR0006368
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006368
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Entry Properties
Last modified
4/7/2020 1:05:00 PM
Creation date
4/3/2020 4:43:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006368
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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Y3GETTLER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# CheyronTexaco #9-6171 .lob Number 385121 <br /> Site Address 6633 Pacific Avenue Event Date -0 1 13 p (inclusive) <br /> City Stockton, CA Sampler �• <br /> Well ID MW- Date Monitored 111A !f Well Condition = <br /> Well Diameter 1 4 1 fi In <br /> Volume 314^=0 02 1`=0 04 2"=0 17 3"=0 38 <br /> Total Depth 93 •*4 ft Factor(VF) 4"=0 66 5^= 1 02 6"= 1 50 12"= 5 80 <br /> Depth to Water A•fa, ft <br /> p.fj xVF Q•�.� — 0 I x3(case volume)= Estimated Purge Volume - D.3� gal <br /> Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment Time Bailed (2400 hrs) <br /> Disposable Sailer Disposable Bailer ' Depth to Product ft <br /> Stainless Steel Bailer Pressure Bailer Depth to Water <br /> Stack Pump Discrete Bader Hydrocarbon Thickness � ft <br /> Suction Pump Other Visual Confirmation/Description <br /> Grundfos Skimmer 1 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) p9ojl Weather Conditions <br /> Sample Time/Date :y%9j4j�+' 4 WerkY Water Color Odor <br /> Purging Flow Rate gpm Sediment Description <br /> Did well de-water? IT yes, Time Volume gal <br /> Time Volume p H Conductivity Temperature D O ORP <br /> (2400 hr) (gal) (u mhos/cm) (C/F) (mg/L) (mV) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (ti)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW- x vos vial YES HCL LANCASTER TPH-G(8015)/BTEX+MTBE(6260)-OR- <br /> MW- x voa vial YES HCL LANCASTER METHANOL/TPH-G(8015)/BTEX+MTBE <br /> (8260)18 OXYS(8260) <br /> COMMENTS T rxSu"js(j; a1ex r a <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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