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ARCHIVED REPORTS_XR0006380
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_XR0006380
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Entry Properties
Last modified
4/7/2020 1:09:35 PM
Creation date
4/3/2020 4:49:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006380
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
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EHD - Public
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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 39T 121 <br /> Facility Job# <br /> Address- 6L& 33 PAC IDC AJf• — Date: ' 1 .2 - o f <br /> City- STo[.v_TDN CA ^Sampler. <br /> Well ID s Well Condition <br /> Well Diameter in Hydrocarbon Amount Sailed <br /> Thickness (feet I—d, ctlwater) - (Gallons} <br /> Total Depth Volume 2" = 017 3" = 0 38 4" = 0 66 <br /> Factor(VF) 6' = 1 50 12" = 5 80 <br /> Depth to Water 3� <br /> X VF .rocs ='L&_ X 3 Icase volume) = Estimated Purge Volume bWald <br /> Purge Disposable Bailer Sampling <br /> Equipment B Equipment Disposble B <br /> aailer <br /> Stack Bailer Sion <br /> Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time a 1) ,I Gi U�rrJ�Weather Conditions -- <br /> Sampling Time t z=1D Water Calor- C t cFFr Odor. A0 <br /> Purging Flow Rate m _ T= Sediment Description <br /> Did well de-water? Na It yes; Time, Volume- <br /> al <br /> Time Volume pH Conductivity Temperature D O ORP Alkaluuty <br /> al) h oalcmXlOO S S, (mg/L) (mV) (ppm) <br /> to •.ti I <br /> LABORATORY INFORMATION <br /> SAMPLE ID CONTAINER-' -REFRIG - --PRESERV TYPE-- - LABORATORY—_ ---ANALYSES _ <br /> X�or►Vim Y (,L SEQUOIA TML fSrW MTB( <br /> � 3 <br /> COMMENTS <br /> 9197 M1dat rrm <br />
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