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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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6ETTLER - RYAN INC. <br />' WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facihty# Chevron #8-6171 Job Number 386129 <br />' Site Address 6633 Pacific Avenue Event Date � (,J {inclusive} <br /> City Stockton, CA Sampler <br /> a : <br /> Well ID YII-I Date Monitored Well Condition <br /> Well Diameter 4 in rFactjor <br /> ume 314"=0 02 t~=004 2=o�7 3"=0 36 <br /> Total Depth 'tt F LVF) 4=0 66 5=t 02 6"= 1 50 12"= 5 80 <br /> Depth to Water ft <br /> xVF _x3 case volume=Estimated Purge Volume at <br />' Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment Time Completed (2400 hrs) <br /> Disposable Bailer Disposable Bailer Depth to Product It <br /> Pressure Bailer Depth to Water It <br /> Stainless Steel Bader ft <br /> Discrete Bailer Hydrocarbon Thickness <br /> Stack Pump Visual ConirmationlDesenp n <br /> Suction Pump Other <br /> Sectio os Skimmer i Absorbant Sock(circle one) <br /> GrundOther Amt Removed from Skimmer gal <br /> Amt Removed from Well gal <br /> Water Removed <br /> Product Transferred to <br /> Start Time(purge) Weat r Conditions -f-'�U <br /> Sample Time/Date ! d Water Color Odor �T <br /> Purging Flow Rate gpm Sediment Description <br /> Did well de-water �'2_ If yes, Time Vplume � _9a1 <br /> Time Volume Conductivity Te rature D O ORP <br /> (2400 hr} (gat) pH (umhoslem) (C F) (mg1L) (mV) <br /> LABORATORY INFORMATION <br /> SAMPLE ID {#)CONTAINER REFRIG PRESERV TYPE LABORATDRY ANALYSES <br /> Myyl_ x vaa vial YES I-1GL LANCASTER STEX+MTBE+PCE+TCE(8260) <br /> x 1 Uter Amber YES NP LANCASTER TPH(8015)(GC1FlD) <br /> COMMENTS <br /> Add/Replaced Lock Add/Replaced Plug _ Size <br /> I <br />
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