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ARCHIVED REPORTS_XR0006389
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006389
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Entry Properties
Last modified
4/7/2020 1:14:37 PM
Creation date
4/3/2020 4:56:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006389
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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I <br /> i <br /> GETTLER - RYA N INC. <br /> i WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> ChentfFactlity# Chevron #9-6171 Job Number 385121 <br /> iEvent Date {Inclusive) <br /> Site Address 6633 Pacific Avenue <br /> City Stockton, CA Sampler <br /> IWel! ID MW- Date Monitored �� Q? Well Condition <br /> Well Diameter 2 4 in volume 314 =0 02 1"=0 04 2"=0 17 3=0 3s <br />' Total Depth ' off Factor{VF) 4"=0 66 5"=1 02 s~= 150 <br /> Depth to Water <br /> xVF __�_ X3'case volume=Estimated Purge Volume gal <br /> Time Started (2400 hrs) <br /> Purge Equipment sampling Equipment 2400 hrs <br /> p g p Time Completed <br /> Disposable Bailer Depth to Product ft <br /> Disposable Bailer Depth to Water <br /> Stainless Steel Bailer Pressure Hailer ft <br /> Ali Discrete Bailer Hydrocarbon Thickness <br /> Stade Pump Visual ConfirmanonlDesenpti <br /> Suction Pump Other <br /> Grundfas Skimmer 1 Absorbant Sock(circle one) <br /> Amt Removed from Skimmer gal <br /> Other Amt Removed from Well gat <br /> Water Removed <br /> Product Transferred to <br /> • tt Q_�UL <br /> Stag Tlme (purge) t�_ Weather Conditions <br /> Sample Time/Date <br /> Water Color CL Odom_ <br /> Purging Flow Rate t `gp+ S dement Descrlptton <br /> Did well de-water? _"t) ^ It yes, Time Volume 9a1 <br /> I <br /> Conductivity Te�rature 00 ORP Time Volume PH �(C� t } (mg/L) (mV) <br /> (2400 hr) {gal) {u mhoslcm) .� <br /> LABORATORY INFORMATION <br /> ANALYSES <br /> SAMPLE 10 (#)CONTAINER REFRIG PRESERV TYPE LABORATORY BTEX+MTBE+PCE+TCE{8260) <br /> x voa vial YES HCL LANCASTER <br /> x f Liter Amber YES <br /> NP LANCASTER TPH(8015)(GGlFID) <br /> ICOMMENTS <br />' Add/Replaced Plug Size <br /> Add/Replaced Lock <br />
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