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ARCHIVED REPORTS_XR0006373
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PACIFIC
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6633
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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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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im6ETTLER - RYA N, INC'. i <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# ChevronTexaco #9-6171 Job Number 386121 W <br /> Site Address 6633 Pacific Avenue Event Date /-/$1•40 r (inclusive) <br /> w City 'Stockton, CA Sampler <br /> Well ID MW-44 Date Monitored Well Condition elen <br /> Well Diameter CV1 4 1 6 in - - <br /> Volume -- -3/4"=002 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 80 <br /> Depth to Water ft <br /> 4RV. 1C xVF _= :MD x3(case volume)=Estimated Purge Volume ////• o gal <br /> Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment Time Bailed (2400 hrs) <br /> Disposable Bader Disposable Bader ✓ Depth to Product ft <br /> Stainless Steel Bailer Pressure Bader Depth to Water <br /> Stack Pump Discrete Bader Hydrocarbon Thickness ft <br /> Suction Pump Other Visual Confirmation/Description <br /> Grundfos Skimmer 1 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) Sj� Weather Conditions <br /> Sample Time/_Da_te_ 1 /-/5- _ _Water Color Odor No <br /> Purging Flow Rate o2 S-,3 gpm Sediment Description <br /> Did-well-de=water?�—= - -If yes,Time - - -- ---Volume -—-—..-gal— - -- -Time Volume J H Conductivity Temperature D O ORP <br /> (2400 hr) (gal) �pp (u mhos/cm) t9F) (mg1L) (mV) <br /> 0 .9v l Lth I <br /> O <br /> LABORATORY INFORMATION <br /> SAMPLE ID CONTAINER —REFRIG — -PRESERV-TYPE LABORATORY -ANALYSES - <br /> MW4L x voa vial YES HCL LANCASTER TPH-G(8015uBTEX+MTBE(8260)-OR- <br /> MW- x voa vial YES HCL LANCASTER METHANOLITPH-G(8015)/BTEX+MTBE <br /> (8260)!8 OXYS(8260) <br /> COMMENTS <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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