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EHD Program Facility Records by Street Name
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2103
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2900 - Site Mitigation Program
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PR0543854
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COMPLIANCE INFO
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Entry Properties
Last modified
6/11/2021 4:58:27 PM
Creation date
6/11/2021 3:35:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0543854
PE
2960
FACILITY_ID
FA0024935
FACILITY_NAME
FORMER CHEVRON 94054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
01
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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Time Started: (2400 hrs) <br />Time Completed: (2400 hrs) <br />Depth to Product: ft <br />Depth to Water: ft <br />Hydrocarbon Thickness: ft <br />Visual Confirmation/Descnption: <br />Skimmer/ Absorbant Sock (circle one) <br />Amt Removed from Skimmer: ltr <br />Amt Removed from Well: ltr <br />Water Removed: Itr <br />Time <br />(2400 hr.) <br />( CA <br />IS I <br />C ctivity <br />Volume (gal.) pH mS <br />pmhos/crn) <br />GETTLER- RYAN INC. <br />WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Client/Facility#: Chevron #9-4054 Job Number: 17155216 <br />Site Address: 2103 Country Club Blvd. Event Date: Cf S - 1 r) (inclusive) <br />City: Stockton, CA <br />Sampler: r-A- l____ <br />MW- Date Monitored: cr- 7 5- Well ID <br />Well Diameter <br />Total Depth <br />(2I 4 in. Volume 3/4"= 0.02 <br />Factor (VF) 4. 0.66 <br />Depth to Water ft. C) Check if water column is less then 0.50 ft. <br />xVF / = 3,0 x3 case volume = Estimated Purge Volume: Ct gal. <br />. Depth to Water w/ 80% Recharge [(Height of Water Column x 0.20) + b-rwi: • `1.1 <br />Purge Equipment: Sampling Equipment: <br />Disposable Bailer Disposable Bailer <br />Stainless Steel Bailer Pressure Bailer <br />Stack Pump Metal Filters <br />Peristaltic Pump Peristaltic Pump <br />QED Bladder Pump QED Bladder Pump <br />Other: Other: <br />Start Time (purge): 1 0S"-- Weather Conditions: <br /> <br />Sample Time/Date: 0 / i.srzS-13 Water Color: C t61•114 Odor: Y <br />Approx. Flow Rate: gpm. Sediment Description: I t 1 IA1 <br />Did well de-water? &AS If yes, Time Volume: gal. DTW @ Sampling: <br /> <br />11- tp <br /> <br />1"= 0.04 T= 0.17 3"= 0.38 <br />5'= 1.02 6. 1.50 12. 5.80 <br />Temperature D.O. ORP <br />( F ) (mg/L) (mV) <br />Z tt - 3.— PRE: 1, 0 PRE: - z 7 z 4 . <br />LABORATORY INFORMATION <br />SAMPLE ID (* CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES <br />MW- I 4- x voa vial YES HCL EUROFINS TPH-GRO(8015)/BTEX+MTBE(8260)/ <br />TAME/1,2 DCA(8260) <br />x voa vial YES HCL EUROFINS TPH-GRO(8015)/BTEX+MTBE(8260)/ <br />TAME/1,2 DCA/EDB(8260) <br />. <br />COMMENTS: n SAM ?Len 9 it-pDX1 To 5 el #tifccs i?Of6-4 rci1i/c1 <br />Add/Replaced Gasket: Add/Replaced Bolt: Add/Replaced Lock: Add/Replaced Plug:
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