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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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Event Date: 61•26-.11 (inclusive) <br />Sampler: ci- <br />Client/Facility#: Chevron #9-4054 <br />Site Address: 2103 Country Club Blvd. <br />City: Stockton, CA <br />Add/Replaced Lock: Add/Replaced Plug: Add/Replaced Gasket: Add/Replaced Bolt: <br />Zi Check if water column is less then 0.50 ft. <br />x3 case volume = Estimated Purge Volume: '32-0 <br />Well ID MW-I. <br />Well Diameter <br />Total Depth 14.36 ft <br />Depth to Water 0 .15 ft. <br />co3 A-3 xvF .11 =10.-ig <br />Depth to Water w/ 80% Recharge [(Height of Water Column x 0.20) + 23.1.1 <br />41- 25r, Date Monitored: <br />5 S <br />2' • L71 <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): <br />Sample Time/Date: 1 / 41 • 2-5. <br />Approx. Flow Rate: gpm. <br />Did well de-water? t.ip If yes, Time: Volume: <br />Con uctivity <br />mS <br />p hos/cm) <br /> <br />Co.P (24i3 2.0 • 13 PRE: Z. t <br />gal. <br />Time <br />(2400 hr.) Volume (gal.) pH ORP <br />(mV) <br />PRE: <br />Weather Conditions: <br />Water Color: Cf1.4.4 <br />Sediment Description: <br />r)L.1 <br />Odor: Y 119) <br />1‘190'-'4 <br />gal. DTVV @ Sampling: ((.%2._ <br />Tegiperature <br />( / F) <br />DO. <br />(mg/L) <br />Volume 3/4=002 1=004 2=017 3"=0.38 <br />Factor (VF) 4"- 0.66 5”= 1.02 6"= 1.50 12'.= 580 <br />Sampling Equipment: <br />Disposable Bailer <br />Pressure Bailer <br />Metal Filters <br />Peristaltic Pump <br />QED Bladder Pump <br />Other: <br />ISA-0 32.0 <br />Time Started: <br />Depth to Product. <br />Depth to Water' <br />Hydrocarbon Thicknes <br />Visual Confirm atio • escription: <br />Skimmer/ orbant Sock (circle one) <br />Amt Re oved from Skimmer: ttr <br />Amt Removed from Well: ltr <br />Water Removed: Itr <br />(2400 hrs) <br />Time Completed: (2400 his) <br />ft <br />ft <br />LABORATORY INFORMATION INFORMATION <br />SAMPLE ID On CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES <br />MW- 11C— x voa vial YES HCL EUROFINS TPH-GRO(8015)/BTEX+MTBE(8260)/ <br />TAME/1,2 DCA(8260) <br />(.0 x voa vial YES HCL EUROFINS TPH-GRO(8015)/BTEX+MTBE(8260)/ <br />TAME/1,2 DCA/EDB(8260) <br />COMMENTS: <br />Job Number: 17155216
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