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ARCHIVED REPORTS_XR0006385
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_XR0006385
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Last modified
4/7/2020 1:15:31 PM
Creation date
4/3/2020 4:52:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006385
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
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SJGOV\sballwahn
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EHD - Public
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6E TL ER - RYA N IMC_ <br />' WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Chent/Facility# Chevron #9-6171 .fob Number 385121 <br /> Site Address 6633 Pacific Avenue Event Date (inclusive) <br /> City Stockton, CA Sampler t-F <br />' Date Monitored 7-/1"'Q Well Condition Ok <br /> Well ID MW- _ — - <br />' Well Diameter T 2 I in <br /> Volume 314'=0 02 1"=0 04 7'=0 17 3'=0 36 <br /> Total Depth -y= L Factor(VF) 4"=0 66 5"=102 6"= 1 50 12"= 5 BO <br /> Depth to Water t�-oft <br /> e _xVF -_ x3 case volume=Estimated Purge Volume 6 d <br />' Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment Time Completed (2400 hrs) <br /> Disposable Bauer Disposable Bader Depth to Product ft <br /> Pressure Bailer Depth to Water It <br /> Stainless Steel Bailer g <br /> Stack Pump Discrete Bader <br /> Hydrocarbon Thickness <br /> Suction Pump _ <br /> Other Visual ConfirmahordDescription <br /> Grundfos Skimmer 1 Absorbant Sock(circle one) <br /> Other Amt Removed from Skimmer gal <br /> Amt Removed from Wel! gal <br /> Water Removed <br /> Product Transferred to <br /> 1• <br /> Start Time(purge) /<, _ Weather Conditions <br /> Sample Time/Date l!I C`� 1 -I�l�6 Water Color Odor if e) <br />' Purging Flow RateSediment Description 4Z6 <br /> Did well de-watery If yes,Time Volum gal <br /> Time Volume Conductivity r ralure D O ORP <br /> (2400 hr) (gal) pH (umhoslcm) 1 F) (mg/L) (mV) <br /> SCG 7,0 7 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#!)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> NIW- <br /> x voa vial YES HCL LANCASTER BTEX+MTBE+PCE+TCE(8260) <br /> 1 liter Amber YES IVP LANCASTER TPH(8015)(GC-FID) <br /> I <br /> I <br /> COMMENTS <br /> • <br /> IAdd/Replaced Lock Add/Replaced Plug Size <br /> I <br />
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