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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/Description: <br />Skimmer/ Absorbent Sock (circle one) <br />Amt Removed from Skimmer: <br />Amt Removed from Well: <br />Water Removed. <br />to OS <br />D`VS- q Cir›- <br />'2- <br />Weather Conditions: <br />Water Color: Cie-4X <br />Sediment Description: <br />Odor: Y 413) <br />itit2A.4; gpm <br />7/Agi GETTLER - RYAN INC. <br /> <br />WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Client/Facility#: <br />Site Address: <br />City: <br />Chevron #9-4054 Job Number: 17155216 <br />2103 Country Club Blvd. Event Date: 11175-1c - (inclusive) <br />Stockton, CA Sampler: G 1-1 <br />Well ID <br />Well Diameter <br />Total Depth <br />Depth to Water <br />mw- <br />Check if water column <br />Date Monitored: <br />2 /0 in. Volume 3/4"= 0 02 <br />Factor (VF) 4=066 <br />1"= 0 04 2=0.17 <br />5"= 1.02 6"= 1.50 <br />3=0.38 <br />12.'= 5.80 2.S. 25- ft. <br />41.83 ft. is less then 0.50 ft. <br />ES .112- xVF .).to Ii = • I-4- x3 case volume = Estimated Purge Volume: 3 1 gal. <br /> <br />Depth to Water w/ 80% Recharge [(Height of Water Column x 0.20) + D-rw): I 2. - <br />Purge Equipment: <br />Disposable Bailer <br />Stainless Steel Bailer <br />Stack Pump <br />Peristaltic Pump <br />QED Bladder Pump <br />Other: <br />Sampling Equipment: <br />Disposable Bailer <br />Pressure Bailer <br />Sc <br />Metal Filters <br />Penstaltic Pump <br />QED Bladder Pump <br />Other: <br />Start Time (purge): <br />Sample Time/Date: <br />Approx. Flow Rate: <br />Did well de-water? <br />Time <br />(2400 hr.) <br />I 010 <br />talc <br />l 0 2- I <br />1.-lC) If yes, Time: Volume: <br />Conductivity <br />Volume (gal.) pH <br />ti9 mS <br />pmhos/cm) <br />i "1 • Oc <br />l'N/rt5 Z- <br />Temperature <br />C9 / F) <br />2‘f • 3 <br />DO. <br />(mg/L) <br />PRE: <br /> <br />ORP <br />(mV) <br />PRE: —39 <br /> <br />gal. DTW @ Sampling: /0.2 <br />LABORATORY INFORMATION <br />SAMPLE ID (*) CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES <br />MW- 2_ 4oz 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 DCNEDB(8260) <br />COMMENTS: <br />Add/Replaced Gasket: <br /> <br />Add/Replaced Bolt: <br /> <br />Add/Replaced Lock: Add/Replaced Plug: <br />
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