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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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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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GETTLER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET " <br /> Client/Facillty# ChevronTexaco #9-6171 Job Number 385121 <br /> Site Address 6633 Pacific Avenue Event Date , (Inclusive) <br /> City Stockton, CA - Sampler Aly-wk, ^ _: - <br /> Well ID MW- 9 Date Monitored Well Condition <br /> Well Diameter 1 4 1 6 in - <br /> Volume - -314"=0 02 1"=0 04 - 2"=0 17 3"=0 38 <br /> Total Depth 1—:3 ft Factor(VF) 4"=0 66 5"=1 02 6"= 1 50 12"= 5 80 <br /> Depth to Water ;T,95 n <br /> xVF 19' t" = /3 x3(case volume)=Estimated Purge Volume •3 gal <br /> Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment Time Bailed (2400 hrs) <br /> Disposable Bailer j/ Disposable Baiter Depth to Product ft <br /> Stainless Steel Bader Pressure Bader Depth to Water <br /> Stack Pump Discrete Bailer Hydrocarbon Thickness fl <br /> Suction Pump Other Visual Confirmation/Description <br /> Grundfos Skimmer/Absorbant Sock(circle one) <br /> Other Amt Removed from Skimmer gal <br /> - Amt Removed from Well gat <br /> Product Transferred to <br /> Start Time (purge) 1,310 Weather Conditionsttr� _ <br /> _ Sample Time/Date `r ` - .?ter Color Odor. _ <br /> Purging Flow Rate gpm Sediment Description <br /> Did well d6-- ate0 T; If yes;Time `s `—Volume - --- --- -gal ---- - - _ --_- - - - <br /> Time - Volume H Conductivity Temperature D O ORP <br /> (2400 hr) (gal) p (umhoslc (CIF) (mg1L) (mV) <br /> e. <br /> LABORATORY INFORMATION <br /> _ SAMPLE ID ( )CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES w <br /> MW- x voa vial YES HCL LANCASTER TPH-G(8015)/BTEX+MTBE(8260)-OR- <br /> MW- x voa viat YES HCL LANCASTER METHANOLfrPH-G(8015)/BTEX+MTBE <br /> (8260)18 OXYS(8260) <br /> COMMENTS r' J + <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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