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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
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SJGOV\sballwahn
Tags
EHD - Public
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1 <br /> CTE T TL ER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Faclllty# Chevron #9-6171 .lob Number 385121 <br />' Event Date (Inclusive) <br /> Site Address 6633 Pacific Avenue <br /> City Stockton, CA Sampler <br /> Well ID MW- Date Monitored a k Well Condition <br /> Well Diameter 4 in volume sJa"=0 0z 1"=0 04 2'=0 17 3"=0 3s <br />' Total Depth ► ft Factor{VF) 4"=0 66 5"=1002 <br /> 6"= 1 50 12"= 5 80 <br /> Depth to Water ft d'� <br /> xVFi—= — —x3 case volume=Estimated Purge Volume ^gal <br /> Time Started (2400 hrs) <br /> Purge Equipment sampling Equipment Time Completed (2400 h's) <br /> Disposable Bader Depth to Product ft <br /> Disposable Bader Depth to Water ft <br /> Stainless Steel Bader Pressure Sailer _ ft <br /> } l Discrete Bailer Hydrocarbon Thickness <br /> Stack Pump -----b�^ Visual Confirmationmescrip n <br /> Suction Pump Other <br /> dfos Skimmer J Absorbant Sack(crrGe ons) <br /> Grun <br /> GrunAmt Removed from Skimmer gal <br /> Other Amt Removed from Well—gal <br /> Water Removed <br /> Product Transferred to <br /> Start Time(purge) Q Weat r Conditions C Ll <br /> Sample Time/Date 1 <br /> Water Color e t1 Odom <br /> Purging Flow Rate m Sediment Description <br /> Did well de-water? if Yes,Time � Volume gal <br /> Conductivity Te rature D 0 ORP <br /> Time Volume pR IL <br /> (2400 hr) (gal) (u mhos/cm) m(C f F) ( g ) m� t v) <br /> LABORATORY INFORMATION ANALYSES <br /> SAMPLE ID {#)CONTAINER REFRIG PRESERV TYPE LABORATORY <br /> X voa vial YES HCL LANCASTERBTEX+MTBE+PCE+TCE(8260) <br /> MW LANCASTER TPH(8015)(GCIFID) <br /> x 1 Leer Amber YES NP <br /> COMMENTS <br /> Add/Replaced tock �� <br /> Add/Replaced Plug -Size <br />
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