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FIELD DOCUMENTS_CASE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545336
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FIELD DOCUMENTS_CASE 1
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Last modified
2/10/2020 4:52:59 PM
Creation date
2/10/2020 4:05:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
CASE 1
RECORD_ID
PR0545336
PE
3528
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
02
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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SEP. -04' 01 (TM 15:57 BLAPE TECH SERVICES, INC TEL A4 573 7771 P. 005 <br /> 09/04/2001 15: 12 516660'ft-g5 BLAINE TECH SEOb F-S PAGE 0' <br /> r,QUIVA WELL MONITORING DATA SHEET <br /> BTS #: Site: Kta ►<<I ... Cn. L J.- <br /> Samp ler: N�.. Date: 7..q, <br /> Well I.D.: fiv. We11,Dia>n,eter; 2 3 (2) G 8 <br /> Total Well Depth: G Depth to Water: G d .r t <br /> Depth to Tree Product: Thickims of Free Product (feet): <br /> Referenced to, Grade D.O. Meter (if req'd): YSl <br /> Purge McGhocl: Sainpling Me�11oJ: ai� <br /> Bailer utatella Dispgsable Bailer <br /> Disposable Bailer Peristaltic F.x4,2c4on Pott <br /> Ivilddlebw L�.lraclion Primp Dadlcaled Tubing <br /> IC I hsible 011101- 011ier: <br /> W01llinmemr....A411111p11ee Well M,aljcj <br /> 004 4" 06i <br /> S �) (Gals)X ` 3 �• Oak. 2d 0,16 G' 1.47 <br /> 1 Case Volume Specified,Volumes Calculated V014111e 3" 0.�7 O1licr indlus=*0.1G3 <br /> T111le Te1iip (c:-') pII Cvlld. TurU;dlty Gals. Removed Mset-vltioils <br /> 11361 '71. 1 '7.Q I a ~1 7�wv G <br /> o S 7 '7 r. ?• ?. I .S� 71.N l 1 <br /> e � 17r ') f LI fad. <br /> Did well dewater? Yes No Gallons actually evactlated: (� <br /> Sainpling Time: Sampling Date: y��f•o <br /> Smnple 1 D. ^'t"'1^ Laboratoly: SQ4=ia Columbia ether 4--.PF <br /> Analyzed fol: T DlL7C 1:i-J 00)e . ly if 0 v" e''e L...�r. <br /> FB I.D. (if applicable): IN ^ DLlplicate I.D. (if applicable), <br /> Analyzed for: TPH•G 137CX MT13E TP14-D Other: <br /> �,£/ nig <br /> D.O. (i!'reLZtd): Pr'e-pu4ge: L Post-purge: <br /> O.A.P. of 1•eq'd): Prc-Purge: ni`V Past-purge: 111v, <br /> Blaine Tech Services, Inc. 1630 Rogers Ave,, San Jose, CA 95112 (405) 573-0555 <br />
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