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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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PACIFIC
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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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jig67ETTLER - RYA N INC. <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# ChevronTexaco #9-6171 Job Number 385121 <br /> Site Address 6633 Pacific Avenue Event Date (Inclusive) <br /> City Stockton, CA Sampler <br /> Well ID W- 11L Date Monitored Well Condition <br /> Well Diameter 2 in <br /> Volume 314"=0 02 1"=004 2"=0 17 3"=0 38 <br /> Total Depth ^ ft Factor(VF) 4"=0 66 5= 1 02 6"= 1 50 12"= 5 80 <br /> Depth to Water ft <br /> xVF _ _ x3 case volume=Estimated Purge Volume © gal <br /> Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment Time Bailed (2400 hrs) <br /> Disposable Bader Disposable Bader Depth to Product ft <br /> Stainless Steel Bailer Pressure Bailer Depth to Water <br /> Stack Pump Discrete Bailer Hydrocarbon Thickness ft <br /> Suction Pump Other Visual Confirmation/Descriptio <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) Vyeqther Conditions S <br /> Sample Time/Date / Q Water Color Odor <br /> LLD <br /> Purging Flow Rate gpm ediment Description <br /> Did well de-watery o If yes, Time Volume gal <br /> Time Volume Conductivity Temperature D OR <br /> (2400 hr} (gal) pH (umhos/cm) (C 1L) ) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#}CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW- —rVo—a0lt <br /> x voa vial YES HCL LANCASTER METHANOLITPH-G(8015)1BTEX+MTBE <br /> (8260)18 OXYS(8260) <br /> COMMENTS <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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