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ARCHIVED REPORTS_XR0006378
EnvironmentalHealth
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6633
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006378
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Entry Properties
Last modified
4/7/2020 1:12:51 PM
Creation date
4/3/2020 4:48:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006378
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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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 3 $ 12 <br /> Faculty �I �- �11 _- Job#: <br /> AVE• Date. <br /> Address. <br /> Clty. _ _ f_ <br /> S0V.'rD N- _C to Sampler-T— <br /> Well ID Well Condition <br /> Well Diameter .n. Hydrocarbon Amount Balled <br /> Thickness IfepI (product/water) Mal ons) <br /> -- Total Depth - -Volume - - 2" = 0 17 - 3" = 0 38 4" = 0 66_ <br /> Factor(VF) 6"= 1 50 12" = 5 80 <br /> Depth to Water <br /> X VF = X 3 (case volume) = Estimated Purge Volume Wal <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time -- Weather Conditions <br /> Sampling Time. Water Color Odor <br /> Purging Flow Rate m Sediment Descri on <br /> Did well de-water? If yes, Tim - Volume <br /> Time Vol a pH Conducuvsty Temperature D O ORP Alkaluuty <br /> al) pmhoslcm IOD •F (MWL) (mV) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE 10 Intl CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br />--- -- — !— X VIAL Y -- ----- -- - - - - TIPIAI [ST+bE MTt3£- - --- - - <br /> ot O S b ZLC <br /> COMMENTS. _ <br /> fJ c.1 I LI C►'"t <br /> 9197 noidat Irm <br /> 1 <br />
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