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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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Time Started: (2400 hrs) <br />Time Completed: <br />(2400 hrs) <br />Depth to Product: ft <br />Depth to Water: ft <br />Hydrocarbon Thickne ft <br />Visual Confirmati• Description: <br />Skimmer bsorbant Sock (circle one) <br />Amt moved from Skimmer Itr <br />emoved from Well: Itr <br />Water Removed: Iti <br />7„, GETTLER- RYAN INC. <br /> <br />WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />chent/Facihty#. <br />Site Address: <br />City: <br />Chevron #9-4054 Job Number: 17155216 <br />2103 Country Club Blvd. Event Date: el • Z.5%%1 (inclusive) <br />Stockton, CA Sampler: Vr <br />Well ID MW- Date Monitored: '25 i <br />Well Diameter Volume 3/4"= 0.02 V= 0.04 2, 0.17 3". 0.38 <br />4413 .(601 ft Total Depth Factor (VF) 4. 0.66 5"= 1.02 6"= 1.50 12"= 5.80 <br />Depth to Water I I- 00 ft. ij Check if water column is less then 0.50 ft. <br />31 . xVF = . 40 x3 case volume = Estimated Purge Volume: t 9 gal. <br />Depth to Water w/ 80% Recharge [(Height of Water Column x 0.20) + .S3 <br />Purge Equipment: Sampling Equipment: <br />Disposable Bailer Disposable Bailer <br />Stainless Steel Bailer Pressure Bailer <br />Stack Pump Metal Filters <br />Peristaltic Pump Peristaltic Pump <br />QED Bladder Pump QED Bladder Pump <br />Other: Other- <br />Start Time (purge): <br />Sample Time/Date: a "51 /CI 4.541 <br />Approx. Flow Rate: 2.0 gpm. <br />Did well de-water? 14t7 If yes, Time: <br />Weather Conditions: <br />Water Color: oce4o"... Odor: Y /di) <br />Sediment Description: NeWie <br /> Volume: gal. DTVV @ Sampling: /2. <br />Time <br />(2400 hr.) <br /> <br />Volume (gal.) pH <br /> <br />Conductivity <br />igf mS <br />pmhos/cm) <br /> <br />Tejaaperature <br />( F ) <br />zo•V <br /> <br />D.O. <br />(mg/L) <br /> <br />ORP <br />(mV) <br />PRE: (00 DAS <br /> <br />PRE: /. 2 <br /> <br />tal <br /> <br />77z- <br /> <br />t tc‘.0 <br />LABORATORY INFORMATION <br />SAMPLE ID (*) CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES <br />MW- lets . x voa vial YES HCL EUROFINS TPH-GRO(8015)/BTEX+MTBE(8260)/ <br />TAME/1,2 DCA(8260) <br />Ce x voa vial YES HCL EUROFINS TPH-GRO(8015)/BTEX+MTBE(8260)/ <br />TAME/1,2 DCA/ED13(8260) <br />COMMENTS: <br />Add/Replaced Gasket: Add/Replaced Bolt: <br /> <br />Add/Replaced Lock: Add/Replaced Plug: <br /> <br />76/
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