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EnvironmentalHealth
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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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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: <br />(2400 hrs) <br />Depth to Product: ft <br />Depth to Water: ft <br />Hydrocarbon Thickness: ft <br />Visual Confirmation/Description: <br />Skimmer/ Absorbant Sock (circle one) <br />Amt Removed from Skimmer: ftr <br />Amt Removed from Well: Itr <br />Water Removed: Itr <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 />Metal Filters <br />Peristaltic Pump <br />QED Bladder Pump <br />Other: <br />GETTLER - RYAN INC. <br />WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />ClienuFaciiity#: Chevron #9-4054 Job Number: 17155216 <br /> <br />Site Address: 2103 Country Club Blvd. Event Date: - Z ( (inclusive) <br />City: Stockton, CA <br /> <br />Sampler: AA- <br /> <br />Date Monitored: ct _zs- (-2 <br />Volume 3/4"- 0.02 V= 0.04 2"= 0.17 3"= 0.38 Factor (VF) 4"= 0.66 5"= 1.02 6. 1.50 12'.= 5.80 <br />I=) Check if water column is less then 0.50 ft. <br />( 1,0 xVF ,I = 3. x3 case volume = timated Purge Volume <br />Depth to Water w/ 80% Recharge [(Height of Water Column x 0.20) + <br />Well ID <br />Well Diameter <br />Total Depth <br />Depth to Water <br />gal. <br />Start Time (purge): 0257c Weather Conditions: 51 j_,AA-r <br />Sample Time/Date: og 3c / Z --I -) Water Color: C la/ Odor: Z / N (7 wr <br />Approx. Flow Rate: _ / gpm. Sediment Description. ( ' t 3 <br />Did well well de-water? AAD If yes, Time: Volume: vgal. DTW @ Sampling: i O. <br />Time <br />(2400 hr.) <br />c9 <br />Con ctivity <br />Volume (gal.) pH .1mS <br />pmhos/cm) <br />?Tr <br />i) <br />"? y <br />Temperature 0.0 ORP <br />(4404 / F ) (mg/L) (my) <br />Z 3 7 PRE: 1.7 PRE: Z' <br />."( <br />Z3.3 <br />z <br />-7 ,1( <br />0 -(( <br />LABORATORY INFORMATION <br />SAMPLE ID (#)ZiNTAINER REFRIG. , PRESERV. TYPE LABORATORY ANALYSES <br />MW- 6, x voa vial YES HCL EUROFINS , <br />TPH-GRO(8015)/BTEX+MTBE(8260)/ <br />TAME/1,2 DCA(8260) <br />x voa vial YES HCL EUROF INS TPH-GRO(8015)/BTEX+MTBE(8260)/ <br />TAME/1,2 DCNEDB(8260) <br />COMMENTS: <br />Add/Replaced Gasket: Add/Replaced Bolt: <br /> <br />Add/Replaced Lock: Add/Replaced Plug: <br />
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