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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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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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EHD - Public
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igGETTLER - RYA N INC. <br /> WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# Chevroi Texaco #9-6171 Job Number 385121 <br /> Site Address 6633 Pacific Avenue <br /> Event Date 12 2 (inclusive) <br /> City Stockton, CA Sampler <br /> Well ID GEW- 1912-i3 Date Monitored /Z117, or ' Well Condition o1c <br /> Well Diameter in volume 3!4'=0 02 1°=004 ��70 3~=0,38Total Depth ft Factor(VF) 4"=0 66 5"= t 02 12"= 5 80 <br /> Depth to Water C O ft -r— <br /> xVF - x3 case volume=Estimated Purge volume `gal <br /> Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment Time Completed 12400 hrs) <br /> Disposable Bader Depth to Product ft <br /> Disposable Bader Depto Water ft <br /> Stainless Steel Bailer Pressure Bader fl <br /> Discrete Bailer Hydrocarbon Thickness <br /> Stack Pump Visual ConfirmationlDescnption <br /> Suction Pump Other <br /> os Skimmer 1 Absorbanl Sock(circle one) <br /> GrundfAmt Removed from Skimmer gal <br /> Other <br /> Amt Removed from Well 9a <br /> Water Removed <br /> Product Transferred to_ <br /> Start Time (purge) <br /> either Conditions C tsU1 <br /> Sample Time/Date !s 1�� !2�i't� Water Color ^ t Odor <br /> m, Sediment Description I` <br /> Purging Flow Rake <br /> ---� <br /> Did well de-water? If yes,Time �— Volume —�gal <br /> Conductivity Temperature D O ORP <br /> Time Volume pH C/ F) (mglL) (mV) <br /> (2400 hr} (gat) (U mhoslcm <br /> LABORATORY INFORMATION ANALYSES <br /> SAMPLE ID (#)CONTAINER REFRIG PRESERV TYPE LABORATORY TPH-G(8015}(GCIFID) <br /> GE1IV_4 2_x 1 Liter Amber YES NP LANCASTER <br /> x voa vial YES HCL LANCASTER BTEX+MTBE+PCE+TCE(8260) <br /> COMMENTS <br /> Add/Replaced Lock — Add/Replaced Plug —Size <br />
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