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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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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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EHD - Public
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a , <br /> CTE T TL ER - RYA N NC,. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# ChevronTexaco #9-6171 ,lob Number 385121 <br /> Site Address 6633 Pacific Avenue <br /> Event Date 1 01� (inclusive) <br /> Stockton, CA Sampler V < V <br /> City <br /> Well ID MW- <br /> Date Monitored 2 �/ Well Condition <br /> Well Diameter 4 in volume 314'=0 02 1"=0 04 2"=0 17 3"10 38 <br /> Total Depth 37 ft i I Factor(VF) 4"=0 66 5"=1 02 6"= 150 17'= 5 80 <br /> Depth to Water , ft " <br /> --, <br /> xVF�_ x3 case volume=Estimated Purge Volume <br /> al <br /> Time Started (2400 hrs) <br /> sampling Equipment Time Completed 2400 111 <br /> Purge Equipment Depth to Product ft <br /> Disposable Bader Disposable Bailer it <br /> Pressure Bader Depth to Water <br /> Stainless Steel Bailer Hydrocarbon Thickness ft <br /> Steric Pump Discrete Bader Visual ConfirmationlDescription <br /> Suction Pump Other <br /> Grundfos Skimmer 1 Absorbent Sock(circle one) <br /> Other Amt Removed from Skimmer��_ 981 <br /> Amt Removed from Well gal <br /> Water Removed <br /> Product Transferred to <br /> Start Time (purge) Weather Conditions <br /> Sample Time/Date <br /> / Wate Odor <br /> Purging Flow Rate 9pM Sedime escription <br /> Did well de-water? If yes me _�� lume ,�gal <br /> DO P <br /> Time Volume H Conductivity T mperature (n+g1L} (mV) <br /> (2400 hr) (gal) p (u mhaslcm) C! F) <br /> LABORATORY INFORMATION AN YSES <br /> SAMPLE IA {#)CONTAINIrR REFRIG PRESERV TYPE LABORATORY 15)(GCIFID) <br /> ` x 1 Liter Amber YES NP LANCAS <br /> ASTER STEX+MTBE+PCE+TCE(8260) <br /> x voa vial YES HCL <br /> COMMENTS <br /> AddlReplaced Lock �� <br /> Add/Replaced Plug Size <br />
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