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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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I 6ETTLER - RYA N INC. <br />' WELL MON ITORINGISAMPLING <br /> FIELD DATA SHEET <br />' ClienttFacility# Chevron #9-6171 ,lob Number 385121 <br /> Site Address 6633 Pacific Avenue Event Date (Inclusive} <br /> City Stockton, CA Sampler <br />' Well ID MW- Date Monitored Q �Well Condition <br /> Well Diameter 4 in Ivolume 314 0 02 1 0 04 2=a 17--3=o 36 <br />' Total Depth T ft Factor(VF) a"=0 66 6=1 02 8-= 1 50 12"= 5 80 <br /> Depth to Water „� ft <br /> xVF _ x3 case volume=Estimated Purge volume al <br />' <br /> Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment- Time Completed„ (2400 firs) <br /> Disposable Bailer Depth to Product ft <br /> Disposable Bauer �' R Stainless Steel Bader Pressure Bailer Depth to Water <br /> Discrete hailer Hydrocarbon Thickness_ ft <br /> Stack Pump visual ConfirmationlDescnplion <br /> Suction Pump Other <br /> Suction <br /> Skimmer 1 Absorbant Sock(circle one) <br /> Other Amt Removed from Skimmer- gal <br /> Amt Removed from Well gal <br /> Water Removed <br /> Product Transferred to <br /> Start Time (purge) p Weat er Conditions <br /> Sample Time/Date 1 Q,o Water Color ��-_ Odor <br /> Purging Flow Rate �01 Sediment Description <br /> Did well de-water9 If yes Time Volume gal <br /> Conductivity Te�rature D O ORP <br /> Time Volume pH C F) (mg1Q (MV) <br /> (2400 hr) (gal) (u mhoslcm) <br /> EREt <br /> LABORATORY INFORMATION <br /> SAMPLE IDIA)CONTAINER <br /> REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> Myy. x voa vial YES HCL LANCASTER BTEX+MTBE+PCE+TCE(82ti0) <br /> x 1 Liter Amber YES NP LANCASTER TPH(8015)(GCIFID) <br /> I � <br /> . COMMENTS <br /> AddlReplaced Lock _ Add/Replaced Plug Size <br />
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