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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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P
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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
Tags
EHD - Public
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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> 4ldent/ CV1f_VRotJ <br /> 3 $r"l21 <br /> Cll)ty 1 Job#: <br /> Address- PAC 1C Aft• Date: -7 -12 -6f <br /> City. STockTp P CA Sampler: _ <br /> Well ID Well Condition �V <br /> Well Diameter ,n Hydrocarbon Amount Bailed <br /> � <br /> j Thickness meet (product/water) (Gall-ons) <br /> Total Depth ✓ s l ft Volume 2" = 0 17 3" = 038 4" = o 66 <br /> Depth to Water <br /> 33 3 rft <br /> Factor(VF) 6"= 1 50 12" = 5 80 <br /> r _ X VF '/ - 1 X 3 (case volume) = Estimated Purge Volume Wal <br /> Purge -CEE� <br /> SamplingEquipmen# Equipment: Disposable Bailer <br /> Stack <br /> Suction Pressure Bader <br /> Grundfos Grab Sample <br /> Other Other <br /> Amok <br /> Starting Time :1d Weather Conditions <br /> C1 t[Jc✓af�j <br /> Sampling Time g'3g Water Color S-ro cti Odor.-N—d <br /> Purging Flow Rate Gnm. Sediment Description. S <br /> Did well de-waters If yes, Time* R "_ olume l <br /> Time Volume pH Conductivity <br /> o�X100 Temperature m$ ORPO/L) OAlka pity <br /> al) <br /> 7 <br /> ig:AS <br /> LABORATORY INFORMATION <br /> SAMPLE ID (11) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> )(g0*v1f1L Y )ACL SEOIIOIA `'S'�l��r LiT'slyt MT6f <br /> COMMENTS ` f1eGv C)S Qn We-1 <br /> • 9197(kWaLtrm <br />
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