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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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GE r rL ER -RYA N INC.' <br />WELL MONITORING/SAMPLING'..: <br />FIELD'DATA SHEET <br />Client/Faciiity #: ChevronTexaco #8-5775 ,lob Number: 386408 <br />Site Address: 301 West Kettleman Lane Event Dater a� (inclusive) <br />City: _ Lodi, CA Sampler: } <br />Well ID - Well Condition: <br />Well Diameter' 2 1 4 1 6 in. <br />Total Depth <br />Depth to Water <br />Purge Equipment: <br />Disposable Bailer <br />Stainless Steel Bailer <br />Stade Pump <br />Suction Pump <br />Grundfos - <br />Other.---- . <br />Le.._ g9t' ft. <br />ft. <br />Volume 3/4 0.02 1"= 0.04 2"= 0.97 3"= 0.38 <br />Factor (VF) 4"= 0.66 5"= 1.02 6"= 1.50 12"= 5.80 <br />xVF — x3 (case volume) = Estimated Purge Volume: Gal. <br />Sampling Equipment: <br />Disposable Bailer <br />Pressure Bailer <br />_ DI ete Bailer <br />ther: Oxy":. <br />Time Started: (2400 hrs) <br />Time Bailed: (2400 hrs) <br />Depth to Product: ft <br />Depth to Water: fl <br />Hydrocarbon Thickness: <br />Visual Confirmation/Description. <br />Skimmer/ Absorbant Sock (circle one) <br />Amt Removed from Skimmer: gal <br />Amt Removed from Well: gal <br />Product Transferred to: <br />Start Time (purge): / Weather Conditions: <br />Sample Time/Date:%dam Wo '� ��Water Calor: Odor: <br />Purging Flow Rate: gpm. I Sediment Description: <br />Did well de -water? If yes, Time: Volume: gal. <br />Time Volume H Conductivity <br />4roe'ty.) (gal.) p (umhos/cm) <br />Temperature D.O. ORP <br />(mg/L) (mV) <br />LABORATORY INFORMATION <br />SAMPLE ID (} CONTAINER REFRIG. PRE5ERV. TYPI; I LABORATORY ANAL <br />x voa vial YES HCL LANCASTER METHANOurPH-GfB <br />15yBTEX+MTBE <br />COMMENTS: <br />_At-_d f y -r ys�Sze_-,_C4 • Y t. <br />Add/Replaced Lock: I Add/Replaced Plug: Size: <br />
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