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ARCHIVED REPORTS_XR0006378
EnvironmentalHealth
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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/ C4kF-V200 <br /> *CIIIty -- -A Q- !(41-11 — Job#: 3 �f l2 <br /> Address. L 33 P AC I )FIC AVE• Date: l®b „ <br /> City _STacrc.TD N Gv4 Sampler: <br /> Well IDS" l6) Well Condition <br /> Well Diameter in HydrocarbonAmount Bailed <br /> `� Thickness lfeetl (product/water) (Gallons) <br /> Total Depth Volume 2" = 0 17 3" = 0 38 4" = 0 66 <br /> �- Factor(VF) 6" = 150 12" = 5 80 <br /> Depth to Water +, � it ' <br /> ©� X VF 1 X 3 (ease volume) = Estimated Purge Volume l <br /> Purge isposable Bail Sampling <br /> Equipment Equipment. isposable Bailer <br /> Stack <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Warting Time 7" ?� Weather Conditions - <br /> Sampling Time Water Color C _ Odor 19 d <br /> Purging Flow Rate anm. Sediment Description. <br /> Did well de-water? ~� If yes, Time- Volume: - ficial ) <br /> Time Volume pH Conductwity Temperature D O ORP Atkaluucy <br /> (gal ) µmhos/cmx%" OF (mg/L) (mv) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE Ib (1!} - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> n'1L•. D XVo*Via.. Y t.- *rffflos 13TU hTft <br /> 2 r.0 <br /> I <br /> �OMMENTS' <br /> i <br /> I <br /> 9197"dal lrrn <br />
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