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ARCHIVED REPORTS_XR0004186
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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800
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3500 - Local Oversight Program
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PR0545339
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ARCHIVED REPORTS_XR0004186
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Entry Properties
Last modified
2/11/2020 7:02:40 PM
Creation date
2/11/2020 4:50:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004186
RECORD_ID
PR0545339
PE
3528
FACILITY_ID
FA0003633
FACILITY_NAME
ARCO 07049
STREET_NUMBER
800
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
06206042
CURRENT_STATUS
02
SITE_LOCATION
800 E Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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1 <br />' GROUNDWATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO 020105306 0603 WELL ID Kw— 4 <br /> F1CLIENT/STATEON # ARCO/#2076 - ADDRESS 800 E Kettleman Rd,Lads <br /> DATE <br />' CASING DIAMETER(inches) 2 3 �- 45 5 6 8 - 12 Other <br /> (atm 0 .— <br /> I <br /> GALLONS/LINEAR FOOT 017 038 083 1 02 15 26 58 Other <br />' 6�- qD —� &� I -�G CALCULATED `' ACTUALy� <br /> TO � ..pTW 7 Q• X GALLONS ' X CASING �+ <br /> WATER LINEAR FT 1 CASING VOLUMES PURGE PURGE <br /> COLUMN VOLUME <br />' DATE PURGED START(2400 Hr) � 3 END(2400 Hr) /a3 <br /> DATE SAMPLED START(2400 Hr) END(2400 Hr)711 <br /> Q �T1ME ,s VOLtlME 'H to <br /> r <br /> i ) <br /> F r e wiv �4 <br /> i a- x'�„A <br /> joy I co), 6; C) 3 <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL(I a F13-1,XDUP-1) <br />' PURGING EQUIPMENT -` s ' W SAMPLING:EQUIPMENT <br /> 2•Bladder Pump Bader(Teflon® 2 Bladder Pump Sailer{Teflorgl <br /> 1 � <br /> Centrifugal Pump Bader(PVC) DDL Sampler Bader(Stainless Steel) <br />' Submersible Pump Bader(Stainless Dipper Submersible Pump <br /> Steel) <br /> Vac Truck <br />' Dediceled Badar D+somble Dedicated <br /> Other h (� Other, <br /> WATER <br /> (� Q <br /> WATER COLUMN &I L X 80.80%RECHARGE \],0%{TD 80%RECHARGE 7 J' F SAMPLE DEPTH r D I <br /> REMARKS <br /> 1 <br /> I <br /> COMPLETED BY (PRINT NAME) p()_�C_`�U SIGNATUR <br /> REVIEWED BY DATE <br /> PAGE OF <br />
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