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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
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SJGOV\sballwahn
Tags
EHD - Public
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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/CHEVRON <br /> acillty# Q — Cp '7 Job#: <br /> Address: '��a vZ_ Date: 10 o <br /> City: _ -S-k zz�c r c:r� CA Sampler: _1?2� <br /> Well ID Well Condition: (_'jti!. <br /> Well Diameter / Hydrocarbon Amount Bailed <br /> Thickness- `4�r tee (product/water): I <br /> Total Depth Volume 2' = 0 17 3" = 038 9" 0 66 <br /> -R� Factor(VF) 6"= 150 12" =5 80 <br /> Depth to Water _ fl. <br /> •` X VF _• X 3 )case volume) - Estimated Purge Volume; laa1.1 <br /> Purge �13ailer Sampling <br /> Equipment: Stack Equipment: <br /> Stack 481e;r ;� <br /> Suction Pressure Bailer <br /> Grundfos - Grab Semple <br /> Other. Other: <br /> •------------------- <br /> Starting Time: �` Weather Conditions: <br /> Sampling Time: d Co Water Color. w ' Odon 6 <br /> Purging Flow Rate. Sediment Description. <br /> Did well de-water? Ua -it yes; -Time:_ Volume: Wall.) <br /> Time Volurne PH Conducts sty Temperature DO ORP Alkalinity <br /> (gal pmhoslem op (mg/7-) (mv) (ppm) <br /> Cl , e,, 3 <br /> LABORATORY INFORMATION <br /> SAMPLE ID 1!!) - CONTAINER REF13IG PRESERV TYPE LA130RATORY ANALYSES <br /> 1 Y 4 vtr. LANCASTER TPHIG)lbtexlmtbe Cy Q <br /> OMMENTS. <br /> 9187-fiNdst frtn <br />
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