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ARCHIVED REPORTS_XR0006387
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006387
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Entry Properties
Last modified
4/7/2020 1:14:46 PM
Creation date
4/3/2020 4:55:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006387
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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6ETTLER - RYA N INC. <br /> WELL MON ITORINGISAMPLING r <br /> MELD DATA SHEET <br /> i <br /> Client/Facility# Chevron #9'-6171 ' Job Number 385121 <br /> Site Address 6633 Pacific Avenue <br /> Event Date (inclusive) <br /> �-Z[>--O 6 <br /> City Stockton, CA Sampler <br /> Well ID MW 14( Date Monitored /V-2 -�G Well Condition 4 <br /> Well Diameter 4 in volume 314"=002 _1 =0 �"= 17 3"W <br /> 0 38 <br /> Total Depth L `r Factar(VF) rw 0 66 5'=1 02 ti= 1 50 12"= 5 80 <br /> Depth to Water <br /> xVF <br /> � 7x3 case volume=Estimated Purge Volume9 <br /> ;farted {2400 hrs) <br /> Purge Equipment Sampling Equipment. Time Completed ' {2400 hrs) <br /> Disposable Sailer Disposable Bader <br /> Depth to Product ff <br /> Pressure Bailer Depth to Water <br /> Stainless Steel Bader Hydrocarbon Thickness <br /> Stack Pump Discrete Bailer visual ConfirmatiordDescnption <br /> Suction Pump Other <br /> Skimmer 1 Absorbant Sock(circle one) <br /> Grundios <br /> Amt Removed from Skimmer gal <br /> Amt Removed from We" _ gal <br /> l <br /> Water Removed <br /> Product Transferred to <br /> Start Time{purge) -�14-1 — Weather Conditions C <br /> Sample Time/Date <br /> a l ;2� Water Color � _ Odor <br /> 3� <br /> Sediment Description <br /> Purging Flow Rate PR! <br /> Did well de-water? If Yes,Time —Volume _ gal <br /> Conductivity Te lure 00 ORP <br /> Time Volume pH C (mg1L) (mv) <br /> (2400 hr (gal) mhoslcm� <br /> �. i _mss <br />' LABORATORY INFORMATION ANALYSES <br /> SAMPLE ID {#)CONTAINER REFRIG PRESERV TYPE I LABORATORY BTEX+MTt3E+PCE+TCE(8260) <br /> MW- x voa vial YES HCL LANCASTER <br />' x 1 liter Amber YES NP LANCASTER TPH(8015)(GC-F1D) <br /> COMMENTS <br />' Add/Replaced Plug Size <br /> Add/Replaced Lock <br /> I <br />
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