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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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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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ft <br />ft <br />xVF <br />Depth to Water w/ 80% Recharge ((Height of Water Column x 0.20) + orwi: 14,09 <br />Time Started: (2400 hrs) <br />Time Completed: (2400 his) <br />Depth to Product: ft <br />Depth to Water: ft <br />Hydrocarbon Thickness: ft <br />Visual Confirmation/Descriptio : <br />Skimmer/ Absorbant Sock (circle one) <br />Amt Removed from Skimmer. <br />ltr <br />Amt Removed from Well: <br />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 />EI GETTLER - RYAN INC. <br />WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />ciientiFeciiity#: Chevron #9-4054 <br />Job Number: 17155216 <br />Site Address: 2103 Country Club Blvd. Event Date: (inclusive) <br />City: Stockton, CA Sampler: AP <br />Well ID <br />Well Diameter <br />Total Depth <br />Depth to Water <br />gl Date Monitored: <br />Volume 3/4 "= 0.02 1"= 0.04 7= 0.17 3-= 0.38 <br />Factor (VF) 4"= 0.66 5"= 1.02 6"-= 1.50 12= 5.80 <br />Check if water column is less then 0.50 ft. <br />0 = 23F3 x3 case volume = Estimated Purge Volume: 3 ê gal. <br />Start Time (purge): <br />Sample Time/Date: <br />Approx. Flow Rate: <br />Did well de-water? <br />Time <br />(2400 hr.) <br />Weather Conditions: <br />2.5-7 q/zs-11-1- Water Color: tie- <br />Sediment Description: .400590- ,Se., <br />t••)%0 If yes, Time: Volume: — gal. DTW @ Sampling: la ( <br />Volume (gal.) pH p mS <br />Coc-tivity <br /> <br />pmhos/cm) <br /> C / ) (mg/L) (my) <br /> <br />lure DO.ORP <br /> <br />2.4 • 1 PRE: ( . 5.-- PRE: <br />32 <br /> <br />12. --3--4- <br />1 .71 ___I___L___ 7--V • 4 2 <br />'24.•11 <br />Odor:! N S ( 1-4 <br />gpm. <br />LABORATORY INFORMATION <br />SAMPLE ID(#) ...8 <br />CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES <br />tp 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(6015)/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:
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