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ARCHIVED REPORTS_XR0006373
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006373
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Entry Properties
Last modified
4/7/2020 1:08:00 PM
Creation date
4/3/2020 4:45:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006373
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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092 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 / S'A3 (Inclusive) <br /> City Stockton, CA Sampler &4�* <br /> Well ID MW- Date Monitored Well Condition <br /> Well Diameter 1 4 /' 6 in <br /> G� Volume 314'=0 02 1"=0 04 2"=0 17 3 0 38 <br /> Total Depth , -/ ft Factor(VF) 4"=0 66 5'= 1 02 6"= 1 50 12'= 5 BO <br /> Depth to Water ft <br /> xVF�� -- _ �x3(case volume)=Estimated Purge Volume gal <br /> Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment Time Bailed (2400 hrs) <br /> Disposable Bailer Disposable Bailer Depth to Product ft <br /> Stainless Steel Bailer Pressure Bailer Depth to Water <br /> Stack Pump $/ Discrete Bailer Hydrocarbon Thickness ft <br /> Suction Pump Other Visual Confirmation/Description <br /> Grundfos <br /> Skimmer!Absorbant Sock(circle one) <br /> Other Amt Removed from Skimmer gal <br /> Amt Removed from Well gal <br /> Product Transferred to <br /> Start Time (purge) 1615 Weather Conditions <br /> Sample Time/Date 1/• '+-p Water Color dl�� Odor a <br /> Purging Flow Rate /• O gpm Sediment Description <br /> Did well de-water? It yes, Time Volume gal <br /> Time Volume H Conductivity Temperature D O ORP <br /> (2400 hr) (gal) p (umhoWcm) 01F) (mg1L) (mV) <br /> 16,59 lo •/ <br /> 9.0 �� Z10 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#)CON-TA NER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW- x voa vial YES HCL LANCASTER TPH-G(8015)1BTEX+MTBE(8260)-OR- <br /> MW- x voa vial YES HCL LANCASTER METHANOUTPH-G(8015)/BTEX+MTBE <br /> (8260)18 OXYS(8260) <br /> COMMENTS <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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