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2900 - Site Mitigation Program
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PR0543854
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COMPLIANCE INFO
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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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(inclusive) Event Date: <br />Sampler: <br />gal. xVF = x3 case volume = Estimated Purge Volume._0.0 <br />ft <br />Time Completed: <br />Depth to Product: <br />Depth to Water: <br />Hydrocarbon Thick s• <br />Visual Confirm rVDescription: <br />Skimm Absorbent Sock (circle one) <br />Sampling Equipment: <br />Disposable Bailer <br />Pressure Bailer <br />Metal Fitters <br />Peristaltic Pump <br />QED Bladder Pump <br />Other: <br />GETTLER- RYAN INC. <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: 17155216 <br />Well ID <br />Well Diameter <br />Total Depth <br />Depth to Water <br />MW- Date Monitored: <br />/4 in. Volume 3/4". 0.02 3.41-44 ft Factor (VF) 4=0.66 <br />I 0 . 2.5 ft. Check if water column is less then 0.50 ft. <br />Depth to Water w/ 80% Recharge [(Height of Water Column x 0.20) + S <br />Purge Equipment: <br />Disposable Bailer <br />Stainless Steel Bailer <br />Stack Pump <br />Peristaltic Pump <br />QED Bladder Pump <br />Other: <br />Add/Replaced Gasket: Add/Replaced Bolt Add/Replaced Lock: Add/Replaced Plug: <br />10-So Weather Conditions: <br />I 0 4-S 61.26'.11 Water Color: . Odor: Y <br />Sediment Description: <br />!la) If yes, Time: Volume: <br />Start Time (purge): <br />Sample Time/Date: <br />Approx. Flow Rate: 12- .0 gpm. <br />Did well de-water? <br />Tereerature <br />( / F ) <br />2.. <br />2.4 <br />D.O. <br />(mg/L) <br />PRE: 2.3 <br />ORP <br />(mV) <br />PRE: if.b <br />Volume (gal.) pH <br />-51,r <br />t o 349 <br />Time <br />(2400 hr.) <br />=7.0 (.4_11 1,1-5 <br />cp. 0 21%, S <br />Co uctivity <br />mS <br />pmhos/cm) <br />(01S <br />S cr7 <br />gal. DTW @ Sampling: ID • 31 <br />LABORATORY INFORMATION <br />SAMPLE ID (*) CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES <br />MW- 5 (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 />COMMENTS: <br />41 -t1 <br />ci • 25. <br />Amt emoved from Skimmer. <br />Am Removed from Well: <br />Water Removed: <br />Time Started: (2400 hrs) <br />400 hrs) <br />ft <br />ft <br /> <br />1"= 0.04 2"= 0.17 3"= 0.38 <br /> <br />5"= 1.02 6. 1.50 12=5.80
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