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ARCHIVED REPORTS XR0003077
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 XR0003077
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Entry Properties
Last modified
10/10/2018 10:25:22 AM
Creation date
10/10/2018 9:07:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS XR0003077
FileName_PostFix
XR0003077
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
Tags
EHD - Public
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FIELD DATA SHEET <br />C <br />Fac I ty �� � �5 71--� Job#. <br />Address 30 61Y 1 �7r/�' Me, 'n Cgri[' Date: r 3 <br />r <br />City Sampler. <br />Well ID zxbv 3 Well Condition vlra <br />l� <br />Well Diameter 09- In. Hydrocarbon- Amount Bailed60� <br />Total Depth Thickness' F (product/water) ai <br />Volume 2" = 0 17 3" = 038 4" = 0 66 <br />sj�y %L Factor (VF) 6"= 150 12" = 5 80 <br />Depth to Water ft. <br />1 // <br />Z q x VF 01J7 = 4 X Y a8se volume) = Estimated Purge Volume CA(i _LcLai-I <br />Purge Disposable Bailer <br />Equipment <br />acc <br />Suction <br />run <br />Ot er <br />Starting Time <br />• Sampling Time <br />Purging Flow Rate <br />Did well de-water7 <br />y <br />aom. <br />�1G <br />Sampling <br />Equipment isposable Bail <br />Bailer <br />Pressure Bailer <br />Grab Sample <br />Other <br />Weather Condltlons Gala V <br />Water Color ACWS % C& <br />Sediment Description <br />If yes, Time <br />Time Volume pH Conductivity Temperature <br />(gal) umhos/crn C <br />Z ci��6 <br />1g3 2c; <br />�— <br />y ? ' <br />/ 1 T� -X <br />617 51 22, (v <br />22-Z <br />! - 3 61, J3 SCAz,?. <br />2Z - <br />"aV V71 , <br />Odor YU -- <br />Volume hall <br />(�k / C4 -"R>/ A--r`//y <br />rklcp ORP <br />(mV) pm) <br />e/q,/ c�c� �� 7r,7�R�/ <br />n)oj <br />t <br />w �- <br />G za ✓ �H <br />n L✓ <br />M 11, <br />V �� G' 7 LABO RATORY INFORMATION y <br />SAMPLE 10 CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br />AW 3 -/g;x2 <br />COMMENTS: <br />9197 rA$dxLfn" <br />sZf <br />
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