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ARCHIVED REPORTS_XR0006389
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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6633
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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 <br /> E T T L ER -- RYA N INC. <br /> WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/Facll[ty# Chevron #9-6171 ,lob Number 386121 _ <br /> Site Address 6633 Pacific Avenue <br /> Event Date (inclusive) <br /> City Stockton, CA Sampler <br /> - Well Condition <br /> Well ID MW- Date Monitored Q <br /> Well Diameter 2 4 in volume 314"=0 02 1"=0 04 2"=0 17 3"=D 38 <br /> Total Depth ♦ R Factor(VF) 4'=0 66 5'=102 B"= 1 50 12"= 5 80 <br /> Depth to Water tt <br /> xVF � y <br /> 'L= + 1 x3 case volume=Estimated Purge Volume gat <br /> L�-h <br /> arted (2400 hrs) <br /> Purge Equipment <br /> Sampling Equipment ompleted (240D hrs} <br /> Disposable Bailer o Product <br /> Disposable Bader o Water_ ft <br /> __� <br /> Stainless Steel Bader Pressure Baiter <br /> Discrete Bailer arbon Thkckness <br /> Stack Pump onfirmationlDescnSuction Pump Other <br /> Grundfos er!Absorbant Sock(circle ane} <br /> Other moved from Stammermoved from Well gal <br /> Water Removed <br /> C! i� }�} �" W`. t Transferred to <br /> 1 i f V <br /> Start Time(purge) Weather Conditions C L fl U- <br /> Sample Time/Date � <br /> Water Color Odor <br /> Purging Flow Rate4 Sediment Description <br /> Did well de-water? If yes,Time Volume .gal <br /> Time Volume Conductivity Temperature D O ORP(2400 hr) (gal) pH (u mhostcm) (Cl F) (m glL) (m <br /> LABORATORY INFORMATION ANALYSES <br /> SAMPLE ID (#)CONTAINER REFRIG PRESERV TYPE LABORATORY BTE X+MT$E+PCE+TCE(8260y <br /> MW_ x voa vial YES NCL LANCASTER <br /> x 1 titer Amber <br /> IVP LANCASTER TPH(8015)(GCIFID) <br /> COMMENTS <br /> Add/Replaced Lock _._� <br /> AddlRepiaced Plug Size <br />
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