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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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Entry Properties
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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SJGOV\sballwahn
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EHD - Public
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6ETTLER - RYAN IN C. <br /> WELL MONITORING/SAMPLING <br /> FIELD'DATA SHEET <br /> Client/Facility#: ChevronTexaco #9-6171 .lob Number: 385121 <br /> Site Address: 6633 Pacific Avenue Event Date: �p�,�-3 td ZL{ U3 (inclusive) <br /> City: Stockton, CA Sampler: wA r►•tr� <br /> Well ID MW- Date Monitored: Well Condition: Q <br /> Well Diameter dj 4 1 6 in. <br /> Volume 3I4"=0.02 1^=0.04 2"=0.17 3"=0-38 <br /> Total Depth 3Q,l3 ft_ Factor(VF) 4"=0.66 5"=1.02 6"= 1.50 12"= 5.80 <br /> Depth to Water a .CDli ft. rte, h <br /> ©o xVI C 1 T_- —= ©,kX x3(case volume)=Estimated Purge Volume:��gal. <br /> FDe <br /> rted: (2400 hrs) <br /> Purge Equipment: Sampling Equipment: led: (2400 hrs) <br /> y <br /> Disposable Bailer Disposatrle Baiter Product: ft <br /> Stainless Steel Bailer Pressure Bailer Water:Stack Pump Discrete Bailer bon Thickness: ft <br /> Suction Pump Other: onfirmatiordDescription:-Grundfos !Absorbent Sock(circle one) <br /> Other: oved from Skimmer: gal <br /> Amt Removed from Well: gal f <br /> Product Transferred to: <br /> Start Time (purge): jW6 tp(23117a Weather Conditions: <br /> Sample Time/Date: Water Color: Odor: AIvP-%q <br /> Purging Flow Rate: ",A gpm. Sediment Description: <br /> Did well de-water? S if yes, Time: 12 L1f Volume: © S gal. <br /> Time Volume H Conductivity Te rature D.O. ORP <br /> (2400 hr.) (gal.) p (umhoslcm) F) (mg1L) (mV) <br /> UX(I t r <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#)CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> MW- q x voa vial YES HCL LANCASTER TPH-G(8015)1BTEX+MTBE(8260)-OR- <br /> MW- x voa vial YES HCL LANCASTER METHANOLrrPH-G(8015)18TEX+MTBE <br /> (8260)18 OXYS(8260) . <br /> COMMENTS: L,x.11 w•cr-i drx1�A?VOa SIM Drz, <br /> Sum etc, <br /> Add/Replaced Lock: Add/Replaced Plug: —Size: <br />
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