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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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SJGOV\dsedra
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EHD - Public
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Event Date: 25. () (inclusive) <br />(2400 hrs) <br />(2400 hrs) <br />ft <br />ft <br />Time Started: <br /> <br />Time Completed: <br />Depth to Product: <br />Depth to Water: <br />9 z5 2. • <br />Add/Replaced Plug: Add/Replaced Gasket: Add/Replaced Bolt: Add/Replaced Lock: <br />ga GETTLER- RYAN INC. <br />WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Client/Facility/it Chevron #9-4054 <br />Site Address: 2103 Country Club Blvd. <br />City: Stockton, CA <br />Date Monitored: 7 S" <br />q ,ct ft. <br /> <br />k0 S— ft. Z!, Check if water column is less then 0.50 ft. <br /> <br />tic xVF • ( = t 5 e 0 x3 case volume = Estimated Purge Volume: <br />Depth to Water w/ 80% Recharge [(Height of Water Column x 0.20) + DTW]: Zy,C) <br />Purge Equipment: <br />Disposable Bailer <br />Stainless Steel Bailer <br />Stack Pump <br />Peristaltic Pump <br />QED Bladder Pump <br />Other: <br />Well ID <br />Well Diameter <br />Total Depth <br />Depth to Water <br />Volume 3/4"= 002 1=004 2=0.17 3"=0.38 <br />Factor (VF) 4. 0.66 5. 1.02 6"= 1.50 12= 5.80 <br />Weather Conditions: <br />Water Color: C <br />Sediment Description: <br /> Volume: <br />Co uctivity <br />/ mS <br />umhos/cm) <br />7.0 -7 9c; <br />Odor: Y / <br />gal. DTW @ Sampling: s. <br />Start Time (purge): Of(5 <br />Sample Time/Date:c)oi 30 / - z5-- ) <br />Approx. Flow Rate: gpm. <br />Did well de-water? If yes, Time: <br />Time <br />(2400 hr.) <br />0q0 -5 <br />Volume (gal.) pH T perature <br />/ F ) <br />- <br />ORP <br />(mV) <br />PRE: ' <br />LABORATORY INFORMATION <br />SAMPLE ID (*) CNJAJNER REFR1G. PRESERV. TYPE LABORATORY ANALYSES <br />MW- cfp x voa vial YES HCL EUROFINS TPH-GRO(8015)/BTEX+MTBE(8260)/ <br />TAME/1,2 DCA(8260) <br />ee x voa vial YES HCL EUROFINS TPH-GRO(8015)/BTEX+MTBE(8260)/ <br />TAME/1,2 DCA/EDB(8260) <br />COMMENTS: <br />gal. <br />Job Number: 17155216 <br />Sampler: <br />Sampling Equipment: <br />Disposable Bailer <br />Pressure Bailer <br />Metal Filters <br />Peristaltic Pump <br />QED Bladder Pump <br />Other: <br />7 /2 ( ctz .s. <br />2( <br />Hydrocarbon Thickness: ft <br />Visual Confirmation/Description: <br />Skimmer/ Absorbant Sock (circle one) <br />Amt Removed from Skimmer: hr <br />Amt Removed from Well: Itr <br />Water Removed: ltr
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