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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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EHD - Public
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Volume <br />Factor Factor (VF) <br />3/4. 0 02 <br />4. 0.66 <br /> <br />1. 0.04 T. 0.17 3. 0.38 <br /> <br />5. 1.02 6. 1.50 12= 5.80 <br />Time Started: (2400 hrs) <br />Time Completed: (2400 hrs) <br />Depth to Product: R <br />Depth to Water: <br />Hydrocarbon Thickness: <br />Visual Confirmation/Description': <br />Skimmer/ Absorbant Sock (circle one) <br />Amt Removed from Skimmer.ltr <br />Amt Removed from Well: fir <br />Water Removed: It <br />ft <br /> ft <br />vt. GETTLER-RYAN INC. <br /> <br />WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Client/Facility#: Chevron #9-4054 <br />Site Address: 2103 Country Club Blvd. <br />City: Stockton, CA <br />Job Number: <br />Event Date: <br />Sampler: <br />17155216 <br /> <br />25 -1 te3t— <br />&‘-‘ <br /> <br />(inclusive) <br /> <br />Date Monitored: <br />11.1k ft. Check if water column is less then 0.50 ft. <br />xVF 0 • k.--4 = to.sci x3 case volume = Estimated Purge Volume: 33 <br />gal <br />Depth to Water w/ 80% Recharge [(Height of Water Column x 0.20) + DTW]: 23.52 <br />Purge Equipment <br />Sampling Equipment: <br />Disposable Bailer Disposable Bailer <br />Stainless Steel Bailer Pressure Bailer <br />Stack Pump Metal Filters <br />Peristaltic Pump Penstaltic Pump <br />QED Bladder Pump QED Bladder Pump <br />Other Other: <br />Well ID MW- <br />Well Diameter (T/ 4 in. <br />Total Depth 4c-1 g ft <br />Depth to Water <br />Start Time (purge): <br />Sample Time/Date: <br />Approx. Flow Rate: <br />Did well de-water? <br />Weather Conditions: <br />Water Color: OdoEy/ N 5(.4 6 <br />Sediment Description: Description: &it. <br />gal. DTVV @ Sampling: <br />LI 40 <br />N20 qhs-Ar- <br />gpm. <br />Time <br />(2400 hr.) <br />I 31141) ."2- <br />NJ 0 If yes, Time: Volume: <br />Conductivity <br />Volume (gal.) pH mS <br />lJihos/cm) <br />2 • <br />DO. ORP <br />(mg/L) (mV) <br />Te erature <br />( C / F ) <br />LABORATORY INFORMATION <br />SAMPLE ID (*) CONTAINER REFIBG. PRESERV. TYPE LABORATORY ANALYSES <br />MW- C. 6, 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 />COMMENTS: <br />Add/Replaced Gasket: Add/Replaced Bolt: Add/Replaced Lock: Add/Replaced Plug: <br /> <br />( 352- 2_4 <br />1351- <br />PRE: .3 PRE: — qa <br />act •">
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