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ARCHIVED REPORTS XR0003023
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 XR0003023
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Entry Properties
Last modified
10/10/2018 9:00:31 AM
Creation date
10/9/2018 1:42:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS XR0003023
FileName_PostFix
XR0003023
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
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TMorelli
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EHD - Public
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6ErrLER- RYA jv INC. . <br />WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Client/Facility #: ChevrohTexaco #9-5775 Job Number: 386408 <br />Site Address: 309 West Kettleman Lane • Event Date: z �p� (inclusive) <br />City: Lodi, CA Sampler: <br />Well tkil Well Condition: o <br />Well Diameter (2_// 4 1 6 in. <br />Total Depth _ f#. Volume 3/4�= 0.02 1"= 0.04 2"= 0.17 = 0,� <br />Factm F) 4 0,66 5"= 9.02 6"= 1.50 12"= 5.80 <br />Depth to Water w/- ft <br />xVF x3 (case volume) = Estimated Purge Volume: I I� gal. <br />Purge Equipment: <br />Disposable Bailer <br />Stainless Steel Bailer <br />Stade Pump <br />Suction Pump <br />Grundlos <br />Other. <br />Sampling Equipment <br />Disposable Bailer <br />Pressure Bailer <br />Discrete Bailer <br />Other. <br />Time Started: 12400 hrs) <br />Time Bailed: (2400 hrs) <br />Depth to Product: ft <br />Depth to Water <br />Hydrocarbon Thickness: ft <br />Visual ConfirmatiordDescription: <br />Skimmer / Absorbant Sock (circle one) <br />Amt Removed from Skimmer: gal <br />Amt Removed from Well: gat <br />Product Transferred to: <br />Start Time (purge): g-3 Weather Conditions: <br />Sample Time/Date: 5 1 Water Color: ? vrr�� Odor: ,tics <br />Purging Flow Rate: — gpm. _ Sediment Description: <br />Did well de -water? Ale if yes, Time: �T Volume: gal. , <br />Time Volume <br />(2400 hr.) pH <br />Conductivity Teture <br />(u mhoslcm) ) <br />LABORATORY INFORMATION ` <br />SAMPLE ID (f1) CONTAINER REFRIG. PRESERV. TYPE LABORATORY <br />///f �i x voa via[ YES HCL LANCASTER < <br />3 <br />w <br />COMMENTS: <br />D.O. ORP <br />(mg/L) (mV) <br />ANALYSES <br />H-G(8015)fBTEX+MTBE <br />8260) . <br />Add/Replaced Lock: Add/Replaced Plug: Size: <br />41-") <br />
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