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ARCHIVED REPORTS_XR0003902
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545420
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ARCHIVED REPORTS_XR0003902
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Entry Properties
Last modified
3/5/2020 5:32:28 PM
Creation date
3/5/2020 4:47:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003902
RECORD_ID
PR0545420
PE
3528
FACILITY_ID
FA0003815
FACILITY_NAME
TESORO (SPEEDWAY) 68154
STREET_NUMBER
2500
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
02740006
CURRENT_STATUS
02
SITE_LOCATION
2500 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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I <br /> pjTe <br /> rk <br /> Corporation f •� <br /> WELL DEVELOPMENTISAMPLIN.G DOCUMENTATION FORM i <br /> v Y '• h 1 <br /> Project Name <br /> Job# <br /> Date 2d n22= <br /> G <br /> Sam2ling Team <br /> (Narhesl onsibilities) <br /> Purpose of Sampling Initial , �ua edy Verfication Other <br /> Weather.Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br /> " De th Total Feet of Conversion., * Casing Volume <br /> -Time -TOC to GW Depth Water Factor' Gallons <br /> Initial: 4 <br /> After develo ! ur in „ tu2 t , <br /> At time of Sampling Three Casing Volumes `" Gals <br /> ' ,Ten Casing.Volumes Gals <br /> x WELL DEVELOPMENTIPURGING p ' <br /> i - <br /> Equipment: Swab-Aire Sub Pump Bailer —Sandpiper. Other: . <br /> Method Description:. ...... <br /> Decontamination Method: <br /> Water Containment:„..,.,,, rums{7 bbakker tank other:" - <br /> LabeEed:� rD�-��l Ji �Y� �l�i�� J - ' #r. „ .. ., i. _ ••� , 4� <br /> PumP Vol.Water• Temp. EC •"p 'Observations FF <br /> ° Time RateExtracted F1C <br /> Startumhos ' _ M' ► <br /> color,turbid' ,oils,odor f <br /> lOf� - ,� - {l <br /> 2_0 O a_ <br /> (0'Z _ 2' t <br /> 2 <br /> L <br /> SAMPLE INFORMATION - <br /> Lab: <br /> Sampling Containers/Number of Containers/Analysis, - Preservation Description` ° <br /> 1 Liter Amber <br /> Ice and _. r <br /> 40 ml,Voa aL- -4- Ic and <br /> Other ,. . r- Ice _and <br /> wTime: <br /> * S <br /> Device: Disposable Bailer✓ Other: .,w k• � -� <br /> Pertinent Field Observations; r _ <br /> Deviations from Standard Sampling Protocol: <br /> I <br />
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