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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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4 <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ C N f-vR otj <br /> wility ..,.,__-[ Q- (o 11 i _ Job#• 3 Sf l21 <br /> Address: - 61# 33 P AC-t IFtC Alf• Date: a ac- <br /> City STocK.Tp N LA Sampler: <br /> Well ID Well Condition b <br /> Well Diameter A in. Hydrocarbon _ Amount Balled <br /> 3' Thickness __ Leet (product/water) {GaElons� <br /> Total Depth ft Volume 2" = 0 17 3" = 038 4" = a 66 <br /> 1r{.� Factor (VF) C = 1 50 12" = 5 80 <br /> Depth to Water '1 l ft <br /> X VF = X 3 (case volume) = Estimated Purge Volume -3 Iaal f <br /> Purge isposable Baile Sampling <br /> Equipment Equipment. isp�abie r <br /> Stack Sailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> 4 <br /> farting Time (fJ.} �� Weather Conditionsyn<kj <br /> Sampling Time __ Water Color c n r Odor fy <br /> Purging Flow Rate m Sediment Description <br /> Did well de-water? If yes, Time. Volume (aal ) <br /> Time Volume pH Conductivity Temperature D O ORP Alkalinity <br /> (gal) ;jmhos/cmKlpp •F (mg(L) (mV) (ppm) <br /> Sq,6 &7 ..Sr <br /> LABORATORY INFORMATION <br /> SAMPLE ID Ip} - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> X1�or.ViAL Y NAM TPaI. (STU lt.%Tft <br /> q OyMS b ItZ40 <br /> OOMMENTS: <br /> 9197 rk"at in" <br />
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