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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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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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a i <br /> 6ETTLER - RYA N INC. <br /> • WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> ClientlFacility# ChevronTexaco #9-6171 Job Number 385121 <br /> i <br /> Site Address 6633 Pacific Avenue Event Date /-/S (inclusive) <br /> City Stockton, CA Sampler K <br /> Well ID MW- 1A Date Monitored Well Condition B� <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 ft Factor(VF) 4"=0 66 5"=102 6"= 1 50 12"= 5 80 <br /> Depth to Waterer ft <br /> —,VF Q _ l 9 x3(case volume)= Estimated Purge Volume 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 /> i <br /> Stack Pump Discrete Bader Hydrocarbon Thickness ft <br /> Suction Pump Other Visual Confirmation/Description <br /> i <br /> i <br /> Grundfos Skimmer 1 Absorbent Sock(circle one) <br /> Other Amt Removed from Skimmer gat <br /> Amt Removed from Well gal <br /> Product Transferred to <br /> Start Time (purge) /'P40 Weather Conditions ee-r&24- <br /> Sample Time/Date Ziykf�qG►fx,--Water Color L710RAA1 Odor <br /> Purging Flow Rate T gpm Sediment Description <br /> Did well de-watery vas If yes, Time /0--4/ Volume /d5� gal <br /> Time Volume Conductivity Temperature DO ORP <br /> (2/4�h�` ,(�� pH ( mhos/cm) OF)C (mg/L) (mV) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#}CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW- x voa vial YES HCL LANCASTER TPH-G(80 1 5)/BTEX+MTBE(B260)-OR- <br /> MW- x voa vial YES HCL LANCASTER METHANOLITPH-G(8015)IBTEX+MTBE <br /> (8260)18 OXYS(8260) <br /> COMMENTS 1 K 7� �4Jg et <br /> Add/Replaced Lock AddlReplaced Plug Size <br />
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