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ARCHIVED REPORTS_XR0003631
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_XR0003631
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Entry Properties
Last modified
2/10/2020 7:29:44 PM
Creation date
2/10/2020 4:16:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003631
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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(, 1 WELL MONITORING DATA SHEET <br /> Project #: 11 3012-E; - N - Clsent: S4G <br /> Sa--Toler• Date Sampled: <br /> Well I D - M W Well Diameter: (circle one) 2 3 ® 6 <br /> Total Well Depth. Depth to i:ater: <br /> Before- -7 4 1 ( ;,.f ter sefore 6 4 - 41 After <br /> Depth to F=ee Product: IhmcJc_ness of Free product (feet) : <br /> Measurements referenced to: PVC Grade Other --- <br /> •a _se-4n.e.,y T•.+.r(5 U) ti _e. +eT <br /> • L 7 <br /> .lcJ w1 • • 4J <br /> • 4• ,,,. • 1 r1 <br /> z6 x I $ 79 <br /> 1 Case Voli—e 4 Specif_ed Vols -» gallons <br /> Pu=g=ng• Baile= D Samplang• Bailer <br /> Y�dL].ebbLrg Middleburg O <br /> • Electric Steers—Ze a Electric Sul—ersible ❑ <br /> S%-CtiCa Pi--::� C � Suction P4• Q <br /> Tti,e of Installed Pu--= Installed Pi a <br /> 3 <br /> TLS 1:rX2 pH CCNM =FREIDITY: VOLU3W' OBSERVATIONS: <br /> (F) REMOVED: <br /> i <br /> 700 s2 . 6 O- -S <br /> -7 . 1 -700 SS-. S C4-o <br /> Did Well Dexater? If yes, gals . Gallons Actually Evacuated: <br /> Sa=pling Tire: 3 �� <br /> Sample I D. : Laboratory: <br /> Analyzed for: 6 Q a �' 0 i C� <br /> Duplicate I D Cleanaag Blank I.D.: <br /> Analyzed for: <br /> Shipping Notations: <br /> Additional Notations: <br />
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