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ARCHIVED REPORTS_XR0006389
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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19E T TL ER - RYA N /NC. <br />' WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# 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 Well Condition <br /> Well Diameter 2 4 in <br />' 1•=0 04 z=0 17 3 038 <br /> Volume 314=oozs s= t50 <br /> Total Depth (VF) 4=o s5=142 <br /> 17= 580 <br /> Depth to Water ft <br /> xVF_ r F -_�_ x3'case volume=Estimated Purge Volume gal <br /> Time Started (2404 hrs) <br /> Purge Equipment, Sampling Equipment Time Completed (2400 hrs) <br /> Disposable Bailer Depth to Product � <br /> Disposable Bailer � <br /> Stainless Steel Bader Pressure Bailer Depth to water r <br /> Stack Pump Discrete Bader <br /> Hydrocarbon Thickness ft <br /> Visual Con6rmationlDescnph <br /> Suction Pump Other <br /> Grundfos Skimmer 1 Absorbant Sock(circle one) <br /> Other Amt Removed from Skimmer 92i <br /> Amt Removed from Well gal <br /> Water Removed <br /> W �'T-i_-:-R— Product Transferred to <br /> Start Time (purge) Weather Conditions <br /> �L/� ALJ <br /> Sample TlmelDateWater Color Odor <br /> Purging Flow Rate ' Sediment Description <br /> Did well de-water? If yes, Time Volume Sal <br /> Time Volume Conductivity Temperature D O ORP <br /> (2400 hr) (gal) pH (umhoslcm) (Cl F) (m9lL) (mV) <br /> I LABORATORY INFpRMATION ANALYSES <br /> SAMPLE 1D (#)CONTAINER REFRIG PRESERV TYPE LABORATORY BTEX+MTBE+pCE+TCE(8260) <br /> MW- x voa vial YES HCL LANCASTER <br /> x 1 Liter Amber NP LANCASTER T (GCIFID) <br /> � <br /> COMMENTS <br /> IAdd/Replaced Lock Add/Replaced Piug Size <br />
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