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EHD Program Facility Records by Street Name
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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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(inclusive) <br />Job Number: 17155216 <br />Event Date: Ct"Z 5- () <br />Client/Facility#: Chevron #9-4054 <br />Site Address: 2103 Country Club Blvd. <br />Sampler: City: Stockton, CA <br />la GETTLER- RYAN INC. <br />WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Well ID <br />Well Diameter <br />Total Depth <br />Depth to Water <br />Date Monitored: cr-- ZS-() <br />Volume 3/4"= 0.02 1"= 0.04 2"= 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 />, xVF , = ' x3 case volume = Estimated Purge Volume: YI gal <br />Depth to Water w/ 80% Recharge [(Height of Water Column x 0.20) + OTWI: <br />Purge Equipment: <br />Disposable Bailer <br />Stainless Steel Bailer <br />Stack Pump <br />Peristaltic Pump <br />QED Bladder Pump <br />Other: <br />Start Time (purge): -6)4150 Weather Conditions: <br />Sample Time/Date: (0 W / jc JO Water Color: Odor Y A <br />Approx. Flow Rate: Z. gpm. Sediment Description: <br />Did well de-water?A'40 If yes, Time: Volume: gal. DTW @ Sampling: 1 2.. 1 1 <br /> <br />Temperature D.O. ORP <br /> <br />((5/I F ) (mg/L) (ri1V) <br /> <br />Z 0 PRE: I . C PRE: 7 Z--- <br />, Ce <br />, <br />Time Volume (gal.) pH (2400 hr.) <br />o (35 6 b'et <br />Co_oaictivity <br />(• i mS <br />umhos/crn) ci <br />LABORATORY INFORMATION <br />SAMPLE ID (# CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES <br />MW- c 4 L 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/ED8(8260) <br />COMMENTS: <br />Add/Replaced Gasket: Add/Replaced Bolt: Add/Replaced Lock: Add/Replaced Plug: <br />Sampling Equipment: <br />Disposable Bailer <br />Pressure Bailer <br />Metal Fitters <br />Peristaltic Pump <br />QED Bladder Pump <br />Other: <br />Time Started: (2400 his) <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 / Absorbant Sock (circle one) <br />Amt Removed from Skimmer lir <br />Amt Removed from Well: Itr <br />Water Removed: ltr
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