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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 <br /> I <br /> 6ETTLER - RYA N INC. <br /> I WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# Chevron #9-6171 Job Number 385121 <br /> Site Address 5633 Pacific Avenue Event Date Q (inclusive) <br /> r <br /> City Stockton, CA Sampler - - <br /> WellD <br /> I Mtn_ , Date Monitored Well Condition <br /> Well Diameter 4 in Volume 314 =D 42 1"=0 44 2'=0 17 3=4 38 <br /> I Total Depth ft Factor tVF) 4"=D 66 5"=1 42 6= 1 50 12= 5 8D <br /> Depth to Water ft <br /> ,VF = N l �x�case volume=Estimated Purge Volume gal <br /> Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment. Time Completed (2400 hrs) <br /> Disposable Bailer <br /> Dtsposaf ftble Bailer Depth to Product It <br /> � <br /> Stainless Steel Bailer Pressure Bailer Depth to Water <br /> I Hydrocarbon Thickness <br /> Stack Pump Discrete Bailer Visual Confirmation/Descnpt <br /> Suction Pump Other <br /> Grundfos 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 /> • � { � <br /> Start Time(purge) Weather Conditions <br /> ISample Time/Date f Q OVater Color C_ ZZ Odor Purging Flow Rate a m Sediment Description <br /> Did well de-water'sIf yes, Time Volume gal <br /> Conductive Temperature D O ORP <br /> (2444 hr <br /> Time Volume pH (u mhoslem) (C/ F) (mglL) (mV) <br /> ) <br /> LABORATORY INFORMATION <br /> /t CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> SAMPLE ID ( ) <br /> x voa vial YES HCL LANCASTER BTF>(+1V1TBE+PCE+TCE(8260} <br /> MW- TPH(8015)(GCfFID) <br /> x 1 Liter Amber YES NP LANCASTER <br /> COMMENTS <br /> IAddlReplaced lock Add/Replaced Plug Size <br /> I <br /> l <br />
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