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ARCHIVED REPORTS_XR0004187
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_XR0004187
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Entry Properties
Last modified
2/11/2020 7:28:34 PM
Creation date
2/11/2020 4:51:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004187
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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' GROUNDWATER SAMPLE FIELD DATA SHEET <br /> . PROJECT NO WELL ID M L� f _ <br />' CLIENT/STATION # ADDRESS eQ(i.. Kettleman Rd.-Lodi <br /> DATE _ 2Z2jZ')- <br /> CASING DIAMETER(Inches) -.L SL -8- 12 Other <br /> (CIRCLE ONE) <br />' GALLONS/LINEAR FOOT Q,u om QS& D.B3 -Lo I k Other <br /> �/ <br /> TD y�r `°—DTW 57 r a /0• / X GA t ONS r (G-7' X CASING . :3 CALCULATED D3'• ACTUAL ay <br /> WATER LINEAR FT S CASING VOLUMES PURGE PURGE <br />' COLUMN VOLUME <br /> DATE PURGED T- START(2400 Hr) 732' END(2400 Hr) •�, <br /> DATE SAMPLED G a-� START(2400 Hr) loan END(2400 Hr) <br /> TIME VOLUME pH E C TEMPERATUR COLOR TURBIDITY <br />' (2400 Hr) (gal) (units) (Nmhos/cm E (visual) (visual) <br /> 025-C) °F19C <br /> 0,T3 .s Cls U <br /> aq l 1001- <br /> �3� a zz g/ C3 <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(I a FB-1 XDUP-1) r/ _ <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br />' 2'Bladder Pump Baiter(Tallon® 2'Bladder Pump Baler(redonS) <br /> Centrifugal Pump Baler(PVC) ODL Sampler Baler(Stainless Stool) <br /> SubmenlWs Pump Beller(Stalnloss Dipper Submersible Pump <br /> Steeq <br /> Vac Truck <br /> DedlrtaWed Bailer Disposable Dedicated <br /> Other other <br />' WATER COLUMN X 80.80%RECHARGE � (TO - tip%RECHARGE. } SAMPLE DEPTH <br /> REMARKS <br /> 1 <br /> COMPLETED BY (PRINT NAME) �'�-" '► '� ��� �` SIGNATURE <br /> REVIEWED BY DATE <br /> 2 <br /> PAGE OF S -J�GROUNDWATER <br /> �� ��I TECHNOLOGY, INC <br />
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