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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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EHD - Public
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Ki6ETTLER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Cltent/Facility# CheyronTexaco #9-6171 Job Number 385121 <br /> Site Address 6633 Pacific Avenue Event Date /tx 4F p (inclusive) <br /> City Stockton, CA Sampler <br /> Well 1D MW- 10 Date Monitored p Well Condition RSG <br /> Well Diameter 14 1 6 in <br /> Volume 314'=D 02 1"=D 04 2"=D 17 3"=0 38 <br /> Total Depth '"•V ft Factor(VF) 4"=0 66 5"= 1 02 6"= 1 50 12"= 5 80 <br /> Depth to Water ft <br /> ft <br /> (f9 xVF &0- x3(case volume)=Estimated Purge Volume J- 4'W gal <br /> Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment Time Bailed (2400 hrs) <br /> Disposable Bailer ✓ Disposable Bader Depth to Product ft <br /> Stainless Steel Bader Pressure Bader Depth to Water <br /> Stack Pump Discrete Bader Hydrocarbon Thickness _ft <br /> Suction Pump Other Visual Confirmation/Description <br /> Grundfos <br /> 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) '0214 Weather Conditions <br /> Sample Time/Date aVkSV ,{Adk <br /> A,4, kj2A4tr Water Color Odor <br /> Purging Flow Rate gpm Sediment Description <br /> Did well de-water? If yes, Time Volume gal <br /> Time Volume H Conductivity Temperature D O ORP <br /> (2400 hr) (gal) p (umhos/cm) (CIF) (mg/L) (mV) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#}CONTAINER REFRIG PRESERV TYPE 11 LABORATORY ANALYSES <br /> MW- x voa vial YES HCL LANCASTER TPH-G(8015)IBTEX+MTBE(8260)-OR- <br /> MW- x voa vial YES NCL LANCASTER METHANOUTPH-G(BDi5)1BTEX+MTBE <br /> (8260)18 OXYS(8260) <br /> COMMENTS hkvi to <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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