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ARCHIVED REPORTS XR0003025
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 XR0003025
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Entry Properties
Last modified
10/10/2018 9:11:06 AM
Creation date
10/9/2018 2:10:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS XR0003025
FileName_PostFix
XR0003025
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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EHD - Public
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r <br />F1_ <br />GE T TL -ER-RYA N INC. <br />WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Client/Facility #: CheyronTexaco #9-5775 Jots [Number: 386408 <br />Site Address: 301 West Kettleman Lane Event Date: / :,g o _ p p - (inclusive) <br />City: Lodi, CA Sampler: L_ - <br />Well ID k %-, . <br />Well Diameter qin. <br />Total Depth" ft. <br />Depth to Water <br />Date Monitored: f ,Z 1, Well Condition: at <br />Volume 314'- 0.02 1"= 0.04 2 0.17 3 0.38 <br />Factor (VF) 4"= 0.66 5"= 1.02 6"- 9.50 12"= 5.80 <br />I xVF - x3 (rase volume) = Estimated Purge Volume. —. gal. <br /># " <br />Purge Equipment: Sampling Equipment: Time Started:Time Balled: <br />Disposable Hailer Disposable Bailer Depth to Product_ <br />Stainless Steel Bailer Pressure Bailer Depth to Water. <br />Stack Pump Discrete Bailer .ems Hydrocarbon Thickne <br />Suction Pump Other: JV'�a�l Visual Confirmatio <br />Grundfos <br />Other. <br />."� <br />(#) CONTAINER REFRIG. PRESERV. TYPE <br />LABORATORY ANALYSES <br />Skimmer 1 orbant Sock (circle one) <br />Amt Re ved from Skimmer. gal <br />Amt emoved from Well: gal <br />Pr duct Transferred to: <br />Start Time (purge): <br />Weather Conditions: <br />S mple Time/Date: <br />1 <br />Water Color: <br />�LLpH <br />�� <br />Odor: <br />rging Flow Rate: <br />gPrrl.iption: <br />id well de -water? <br />Volume: <br />gal. <br />Time ' <br />� <br />Volume <br />vity <br />Temperature <br />D.O. ORP <br />(240D <br />{ga.)m) <br />(C F) <br />( ) (mV) <br />F <br />r <br />LABORATORY INFORMATMIKI <br />SAMPLE ID <br />(#) CONTAINER REFRIG. PRESERV. TYPE <br />LABORATORY ANALYSES <br />x voa vial YES HCL <br />(`• <br />LANCASTER METHAN0UTPH-G(8075y8TEX+MTBE <br />(8260)/8 OXYS(8260 <br />COMMENTS: LOIQ 194.V/C-- 4.iA. <br />Add/Replaced Lock; Add/Replaced Plug: Size: <br />
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