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ARCHIVED REPORTS_XR0006397
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006397
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Last modified
4/7/2020 1:10:40 PM
Creation date
4/3/2020 4:59:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006397
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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jig6E T TL ER - RYA N INC, <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# CheyronTexaco #9-6171 ,lob Number 386121 <br /> Site Address 6633 Pacific Avenue Event Date (Inclusive) <br /> City Stockton, CA Sampler <br /> Well ID MW- Date Monitored Well Condition 10 <br /> Well Diametera,ftn <br /> Vofume 3!4"=0 02 i"=0 04 2'=0 17 3'=038 <br /> Total Depth Factor(VF) 4 =0 66 5"= 1 02 6 = 1 50 12"= 5 f30 <br /> Depth to Water <br /> xVF _ x3 case volume=Estimated Purge Volume a1 <br /> Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment Time Bailed (2400 hrs) <br /> Disposable Bader Disposable Bailer `_ Depth to Product ft <br /> Stainless Steel Bader Pressure Bailer Depth to Water <br /> dq <br /> Stack Pump Discrete Bailer Hydrocarbon Thickness ft <br /> Suction Pump Other Visual Confirmation/Descripti9 <br /> rr— <br /> Grundfos Skimmer!Absorbant Sock(circle one) <br /> Other Amt Removed from Skimmer gal <br /> Amt Removed from Well gal <br /> Water Removed <br /> Product Transferred to <br /> Start Time(purge) e�CJ ( a�a Conditions L1�Il�f <br /> Sample Time/Date 0 / 710 1 Water Calor Odor <br /> Purging Flow Rate gpm Sediment Description <br /> Did well de-water? If yes, Time Volume gal <br /> Time Volume H Conductivity Temperature D O <br /> (2400 hr) (gal) p (umhoslcm) (Cg!L) V) <br /> t -3r a <br /> qo -0.t— 5?�11�� <br /> i <br /> coo <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#)CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW- x voa vial YES HCL LANCASTER TPH-G(8015)lBTEX+MTBE(8260) <br /> COMMENTS P LIQL-4 ki( — <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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