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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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K
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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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6ErrIER-RYA N INC. <br />WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Client/Facility #: <br />ChevronTexaco #9-5775 <br />.lob Number: <br />386408 . <br />Site Address: <br />301 West Kettleman 'Lane <br />Event Date: <br />2yam.! n / (inclusive) <br />City: <br />Lodi, CA <br />Sampler: <br />- - <br />Well ID <br />-r22,0r Well Condition:T�' <br />Volume: <br />gal. <br />Well Diameter2 <br />1 4 1 6 in. <br />TernLure <br />D.Q. ORP <br />Total Depth <br />zl !:!57 e/'/ g Volume <br />314"= 0.02 <br />1'= 0.04 7=017 3"--0.38 <br />Depth to Water <br />Factor (VF) <br />lP i9- p, ft. <br />4"= 0.66 <br />5"= 9.02 6"= 1.50 '12"= 5.80 <br />xVF ' l _42 <br />x3 (case volume) = <br />Estimated Purge Volume: 7—/ gal. <br />Purge Equipment: <br />Disposable Bailer <br />Stainless Steel Bailer <br />Stack Pump <br />Suction Pump <br />Grundfas <br />Other: <br />- Sampling Equipment: <br />Disposable Bailer <br />Pressure Bailer <br />Discrete Bailer <br />Other. <br />Time Started: (2400 hrs <br />Time Balled: (2400 hrs <br />Depth to Product: ft <br />Depth to Water: <br />Hydrocarbon Thickness: g <br />Visual Confirmation/Description: <br />Skimmer / Absorbent Sock (circle one) <br />Amt Removed from Skimmer: gal <br />Amt Removed from Well: gal <br />Product Transferred to: <br />Start Time (purge): <br />,:> Weather Conditions: <br />Sample Time/Date: <br />17— 51 /y/els- Water Color: <br />v <br />Odor: <br />Purging Flow Rate: <br />gpm. Sediment Description: <br />Did well de -water? <br />t'—, If yes, Time: �, <br />Volume: <br />gal. <br />Time <br />Volume Conductivity <br />pH <br />TernLure <br />D.Q. ORP <br />(2400 hr.) <br />(gal.) (umhordem) <br />LABORATORY INFORMATION <br />SAMPLE ID (#). CONTAINER REFRIG.. PRESERV. TYPE <br />LABORATORY <br />ANALYSES <br />A?,Al--. 00p <br />x voa vial YES HCL <br />LANCASTER <br />METHANOUTPH-G(8015)1BTEX+MT8E <br />COMMENTS: <br />V <br />Add/Replaced Lock: Y Add/Replaced Plug: Size: E <br />N <br />
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