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ARCHIVED REPORTS XR0003021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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301
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2900 - Site Mitigation Program
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PR0508132
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ARCHIVED REPORTS XR0003021
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Entry Properties
Last modified
10/10/2018 8:56:00 AM
Creation date
10/9/2018 1:26:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS XR0003021
FileName_PostFix
XR0003021
RECORD_ID
PR0508132
PE
2957
FACILITY_ID
FA0007953
FACILITY_NAME
CHEVRON #9-5775
STREET_NUMBER
301
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04514002
CURRENT_STATUS
01
SITE_LOCATION
301 KETTLEMAN LN
P_DISTRICT
004
QC Status
Approved
Scanner
TMorelli
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EHD - Public
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Client/Facility # <br />Site Address: <br />City: <br />GETTLER-RYA N INC. <br />WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />ChevronTexaco #9-5775 Job Number: 386408 <br />301 West Kettleman Lane Event Date: t r? d 7 (inclusive) <br />Lodi, CA Sampler: <br />Well ID EX -3 <br />Well Diameter in. <br />Total Depth fl. <br />Depth to Water ft. <br />�— xVF <br />Purge Equipment: <br />Disposable Bailer <br />Stainless Steel Bailer <br />Stack Pump <br />Suction Pump <br />Grundfos <br />Other: `lZY1R11ML01f4r1 S i/s <br />Date Monitored: i �j] <br />Well Condition: <br />dh__ <br />PRESERV. TYPE <br />LABORATORY <br />ANALYSES <br />-�/ - <br />Jj <br />/ x voa vial <br />(� <br />Volume 314"= 0.02 <br />1"= 0.04 2"= 0.17 <br />3"= 0.38 <br />METHAN0L/TPH-G(8045)1BTEX+MTBE <br />18260)!8 OXYS(8260) <br />Factor (VF) 4"= 0.66 <br />5"= 1.02 6"= 1.50 <br />12'= 5.80 <br />x3 (case volume) = Estimated Purge Volume: gal. <br />Sampling Equipment: <br />Disposable Bailer <br />Pressure Bailer <br />Discrete Bailer <br />XOther: PZX70AX�rM s %S w1 <br />Time Started: (2400 <br />Time Balled: <br />Depth to Product: <br />Depth to Water: <br />Hydrocarbon Thick s: <br />Visual Confirm ' n/Description: <br />Skimmer Absorbant Sock (circle one) <br />Amtoved from Skimmer: gal <br />Am emoved from Well: gal <br />Product Transferred to: <br />Start Time (purge): Weather Conditions: r owd <br />Sample Time/Date: 0'3 Water Color: C Cbl Odor: Ad <br />Purging Flow Rate: gpm. Sediment Description: f alt✓ <br />Did well de-water?If yes, Time: Volume: gal. <br />I = i Time Volume H Conductivity Temperature D.O. ORP <br />J. <br />_:) (2400 hr.) (gal. p (u mhos/cm) (C/F) (mg1L) (mV) <br />t-ARORATORY INFORMATION <br />SAMPLE 10 <br />4#) CONTAINER <br />REFRIG. <br />PRESERV. TYPE <br />LABORATORY <br />ANALYSES <br />-�/ - <br />Jj <br />/ x voa vial <br />(� <br />YES <br />HCL <br />LANCASTER <br />METHAN0L/TPH-G(8045)1BTEX+MTBE <br />18260)!8 OXYS(8260) <br />COMMENTS: <br />Add/Replaced Lock: Add/Replaced Plug: Size: <br />
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