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ARCHIVED REPORTS_XR0006369
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006369
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Last modified
4/7/2020 1:07:42 PM
Creation date
4/3/2020 4:44:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006369
RECORD_ID
PR0528433
PE
2957
FACILITY_ID
FA0019174
FACILITY_NAME
CHEVRON SERVICE STATION 9-6171
STREET_NUMBER
6633
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741048
CURRENT_STATUS
02
SITE_LOCATION
6633 PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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6ETTLER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility#: ChevronTexaco#9-6171 Job Number: 385121 <br /> Site Address: 6633 Pacific Avenue Event Date: 1 C9 2 3 - to Zy��3 (inclusive} <br /> City: Stockton, CA Sampler: An A tc-jWell ID MW- Date Monitored: to 17- Well Condition: c3 K <br /> Well Diameter V1 4 1 6 in. <br /> Volume 314"4 0.02 1"=0.04 2"=0.17 3"=0.38 <br /> Total Depth Ale 6 ft. Factor(VF) 4"=0.66 5"=1.02 6"= 1.50 12"= 5.80 <br /> Depth to Water S% 1( n Q <br /> "Z xVF x3(case volume)=Estimated Purge Volume: ! gal. <br /> FHd <br /> arted: (2400 jr,) <br /> Purge Equipment: Sampling Equipment: ailed: (2400 <br /> Disposable Bailer Disposable Bailer ` • o Product: <br /> Stainless Steel Bailer Pressure Bailer <br /> Deptho Water: <br /> Stack Pump <br /> Discrete Baiter arbon Thickness: <br /> onfirmatioNDescriptian: <br /> Suction Pump Other: <br /> Grundfos erI Absorbant Sock(circle one) <br /> Other: moved from Skimmer: gal <br /> moved from Welt: galt Transferred to: J <br /> Start Time (purge): 1 y 30 Weather Conditions: Sci <br /> Sample Time/Date: 1 �{ �; 1 0 23�v� Water Calor: Odor: Sf 7 1,f <br /> R <br /> Purging Flow Rate: Z gpm. Sediment Description: o ,iter <br /> Did well de-water? r If yes,TimeVolume: _gal. <br /> Time VolumeConductivity Temperature D.O. ORP <br /> (2400 hr:) (gal.) pH (umhostem) (CIF) (mg/L) (mV) <br /> IY36z ) o y <br /> LABORATORY INFORMATION . <br /> SAMPLE ID (#)CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> MW_ x voa vial YES HCL LANCASTER TPH-G(8015)BTEX+MTBE(8260)-OR- <br /> MW- x voa vial YES HCL LANCASTER METHANOUTPH-G(8015)1BTEX+MTBE <br /> 4 (8260)!8 OXYS(8260) <br /> COMMENTS: <br /> Add/Replaced Lock: Add/Replaced Plug: Size: <br />
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