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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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Depth to Water w/ 80% Recharge [(Height of Water Column x 0.20) + t 4. 42. <br />Time Started: (2400 hrs) <br />Time Completed: <br />(2400 firs) <br />Depth to Product: ft <br />Depth to Water: ft <br />Hydrocarbon Thickne ft <br />Visual Confirmati • escription: <br />Skimmer bsorbant Sock (circle one) <br />Amt oved from Skimmer: Itr <br />Amt emoved from Well: Itr <br />Water Removed: ftr <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 />Penstaltic Pump <br />QED Bladder Pump <br />Other: <br />Approx. Flow Rate: —..- A.° gPm• Sediment Description: <br />GETTLER- RYAN INC. <br />WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Client/Facility#: <br />Site Address: <br />Chevron #9-4054 Job Number: 17155216 <br />(inclusive) 2103 Country Club Blvd. Event Date: I. 2.5.1i <br />City: Stockton, CA Sampler: V' <br />Well ID MW- 10 Date Monitored: <br />Well Diameter a)/ 4 in. Volume 3/4”= 0.02 1"= 0.04 2. 0.17 r= 0.38 <br />1A0 .30 ft Total Depth Factor (VF) 4"= 0.66 5"= 1.02 6. 1.50 12. 5.80 <br />Depth to Water ID 53 ft. D Check if water column is less then 0.50 ft. <br />xVF I/ = 3 3i, x3 case volume = Estimated Purge Volume 0.0 gal. <br />Start Time (purge): ( 2.55 Weather Conditions: StAr-)04 <br />Sample Time/Date: 3 2s1-1 Water Color: 13,24) . Odor: Y 1,9 <br /> <br />5. Sic.r..1 <br />Did well de-water? (..3 If yes, Time: Volume: gal DTVV © Sampling: 1 0 <br />Conductivity Time Volume (gal.) pH mS (2400 hr.) umhos/cm) <br /> Co .11.. 575 — <br /> <br />Temperature D.O. ORP <br />(CO / F ) (mg/L) (mV) <br />2•1•• PRE: 2.. 2.- PRE: blt <br />(155 .0 2— <br /> <br />4.L <br /> <br />t do 2x, <br /> <br />LABORATORY INFORMATION <br />SAMPLE ID (S) CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES <br />MW- Ip to x voa vial YES HCL EUROFINS TPH-GRO(8015)/13TEX+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 />Add/Replaced Gasket: Add/Replaced Bolt: Add/Replaced Lock: Add/Replaced Plug:
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