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ARCHIVED REPORTS_XR0006377
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006377
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Entry Properties
Last modified
4/7/2020 1:09:37 PM
Creation date
4/3/2020 4:47:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006377
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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O <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/CHEVRON <br /> Facility _ Q Ca.� '7 Job#: <br /> Address: Date: to I°d .. <br /> City: _.._ � c.__�� CA _ Sampler: 196Z <br /> Well ID Well Condition: 01C <br /> Well Diameter Hydrocarbon Amount Balled �- <br /> Thickness: !feet} (product/water): (Gallons! <br /> Total Depth _�f2y�� Volume 2'- 0 17 3"- 0 38 4"- 0 66 <br /> s Factor(VF) 6"= 1.50 12'- 5 80 <br /> Depth to Water � //��// <br /> 31 •H Z X VF C�iJ G 021l X 3 (case volume) - Estimated Purge Volume Wal.) <br /> Purge Disposable Bailer Sampling <br /> Equipment: Equipment: - osable Bailer <br /> Stack Bei er <br /> uc ion Pressure Bailer <br /> Grundtos - Grab Sample <br /> Other. Other: <br /> )Starting Time* / rZI(r, Weather Conditions: Cx <br /> Sampling Time: `� Water Color: �'.. fA�. Odor: <br /> Purging Flow date Qom. Sediment Description: <br /> Did well de-water? Alb It yes; Time: Volume: ibai.i <br /> Tame volume PH Conductivity Temperature D O. ORP Alkalinity <br /> (gal ) Nmhoa/ctn "F (mg/L) (mV) (Ppm) <br /> o� ��z *y <br /> 3 �caz 1 <br /> LABORATORY INFORMATION <br /> SAMPLE ID II►I- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> 1( Y tib LANCASTER TPH(G)/btex/mtbe <br /> OPOMMENTS: <br /> 9/9741eidst trrn <br />
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