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ARCHIVED REPORTS_XR0006390
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_XR0006390
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Entry Properties
Last modified
4/7/2020 1:25:28 PM
Creation date
4/3/2020 4:56:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006390
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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igGETTLER - A!" YA N IN'C. <br /> WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# ChevronTexaco #9-617'1 .lob Number 3i6121 � (inclusive) <br /> Site Address 6633 Pacific Avenue Event Date �- <br /> City Stockton, CA Sampler I J <br /> Well ID MW- Date Monitored �— <br /> Well Condition <br /> Well Diameter 2 1 �� ' 2x3 <br /> 3r4"=0 02 1"=0 04 2 0 17 3"=0 88 <br /> Total Depth �� ft A 4'=0 66 5"=1 02 6"= 1 50 i2"= 5 80 <br /> Depth to Water ft <br /> raacal <br /> xVF ,��= case volume=Estimated Purge Volume <br /> Time Started (2400 his} <br /> Sampling Equipment Time Completed (2400 hrs) <br /> Purge Equipment ft <br /> Disposable Bader Depth to Product ft <br /> Disposable Bader Depth 10 Water <br /> Stainless Steel Baiter Pressure Bader _ , g <br /> Discrete Bader Hydrocarbon Thickness <br /> Stack Pump Visual Confirmation/Description <br /> Suction Pump Other <br /> Gmndfos Skimmer 1 Absorbent Sadc(circle one) gal <br /> Other Aml Removed from Skimmer 1� gal <br /> Amt Removed from Well <br /> Water Removed <br /> . Product Transferred to <br /> Start Time (purge) 4tg <br /> W ather Conditions Sf/�()Water ColorOdor <br /> Sample Time/Date 1Purging Flow Ratem Sediment Description <br /> Did well de-water? a If yes, Time � Volume ----gal <br /> Conductivity Temperature D O ORP <br /> Time Volume pH (umhoslcm) (C1 F) (mg/L} (mv) <br /> (24110 <br /> 5r) � (gat) - <br /> -� 2 P-- , <br /> O a- <br /> ------------- <br /> LABORATORY INFORMATION ANALYSES <br /> SAMPLE ID (101 CONTAINER REFRIG PRESERV TYPE LABORATORY TPH-G(8D15)(GClFID) <br /> �- 1 Liter Amber YES NP LANCASTER <br /> x voo vial YE5 <br /> HCL LANCASTER STE=X+MTBE+PCE+TCE(826D) <br /> COMMENTS <br /> Add/Replaced Lock �� <br /> Add/Replaced Plug Size <br />
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