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ARCHIVED REPORTS_XR0012472
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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3500 - Local Oversight Program
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PR0545336
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ARCHIVED REPORTS_XR0012472
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Entry Properties
Last modified
2/10/2020 9:06:15 PM
Creation date
2/10/2020 4:31:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012472
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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EQUIVA WELL MONITORING DATA SHEET <br /> BTS # .k- Site- 4fl o <br /> Sampler ,„ Date• w <br /> 9 Y-vl <br /> Well ID roti✓-r Well Diameter: 2 3 6 g <br /> Total Well Depth G Q,r Depth to Wates- G o , <br /> Depth to Free Pi oduct Thickness of Free Product (feet) <br /> Referenced to Grade DO Meter (if ieq'd) YSI HACH <br /> Purge Method Sampling Methodai <br /> Basler Waterra Disposable Bailer <br /> Disposable Bailer Peristaltic Extraction Port <br /> Middlebur Extraction Pump Dedicated Tubing <br /> ric u r rsible Other Other <br /> Mullipher <br /> S.9 1" 004 4" 065 <br /> (Gals)Y m S. Gals 2" 016 6" 147 <br /> 1 Case Volume Specified Volumes Calculated Volume 4 37 olhcr rudius2*o 163 <br /> Time Temp (°F) pH Cond Turbidity Gals Removed Obseivatious <br /> 1034 '74' 1 '7. 0 [ IS-1 <br /> 7� •v 6 <br /> It, -Ss' 71. C1 119th 7��4 ► �- <br /> ( 411 -)1.1 -7. <br /> r <br /> 107 ---------- <br /> -7 f. }. T. 3, <br /> ►a� L 07J.� 7. 11-7 )— r.f re ; 1. 3 <br /> Did well dewatel7 Yes Na Gallons actually evacuated <br /> Sampling Time p r-a Sampling Date )-4y-a 1 <br /> Sample I D ♦''E 6P.)_ Laboratory' Sequoia Columbia Otlier k'- f;F' <br /> .Analyzed for T BTEX -D Ot,ei S �4-L-j <br /> EB I D (if applicable). @ Duplicate I D (if applicable) <br /> IVialyfed-for TPH-G BTEX MTBE TPH-D Other <br /> D O (if ieq'd) Pie-purge mglL Post-purge "'s/z <br /> O RP (ifreq'd) Pre-purge my Post-purge -4 <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-8555 <br />
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