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ARCHIVED REPORTS_XR0003627
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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K
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KETTLEMAN
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420
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3500 - Local Oversight Program
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PR0545336
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ARCHIVED REPORTS_XR0003627
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Entry Properties
Last modified
2/10/2020 4:45:57 PM
Creation date
2/10/2020 4:13:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003627
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
Tags
EHD - Public
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SIiELL LLL MONITORING DA A SHEET <br /> A } » <br /> Pro3ect •q# r r i n1c <br /> rV z 1 <br /> Sailer. / A Date Sled: /I r / 7� <br /> Well 1 D `m W - I Well Dxa_:zeter: (circle one) 2 3 6 <br /> Total r�ell 2ept'i Oepth to Water* <br /> ?ezore ' f =-fter ?efore /' After <br /> Depth to «ee ?_cc.ctoirf Free ?rod%.ct (feet) . <br /> Yeasure=xe:ts refererced to Grade Other -- <br /> an Gc.. . n n ! L t• Cr <br /> C 7 <br /> u <br /> x S / <br /> 1 Case Vo1.=.e Speczf-ed Vol—.es - gallons <br /> Baz'_ez Z Sa—ling- 32az1er <br /> :!(--'±ie;..,g ❑ *":cmlebL.rg ❑ <br /> lectz-c S rs-b1e 23 lr S 1----ersz:le <br /> - ecx. zc ❑ <br /> S ctzc: _ ❑ SLCtzO:1 ❑ <br /> cf --.stalled r,.- _nstalled =� ❑ <br /> . TI W "'^`-? 1-I CCN--) _�c3IDITY. ';OL "_X^_-, <br /> v C? 'v <br /> � / ,4 �3� 1 7, 1 tzic, Z7. 1 -2- <br /> 16 7, 1 1260. '33, 17, <br /> Did Well :.ewater'A! d 1� yes, gals Gallons Actually Evac..ated. <br /> Samp lz::g Ti=e. 12 <br /> Sa_-;Ple, I D. . r� W�� Laboratory: <br /> Analyzed for: 1 7- <br /> 3DLplicate I D. : Cleaning Blank I.Z) <br /> Analyzed for: <br /> Shipping Notations: <br /> Additional Notatzon3: <br />
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