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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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The � <br /> �NPjrk <br /> Corporation ti <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM ' <br /> Project Name <br /> Job# S� -► ,, . <br /> Date -.. � T L <br /> Sampling Team _ I <br /> (Names/Responsibilities) <br /> Purpose of Sampling »+ Initial Verfication Other _..,... 3 <br /> Weather Conditions _ <br /> GROUNDWATER'LEVELICASING VOLUME ' <br /> y - <br /> Depth Total Feet of -Conversion -—Casing Volume <br /> Time TOC to GW Depth Water Factor' ; ' ' Gallons `} <br /> —Initial <br /> After develo! ur in <br /> At time of Sampling LC) Three Casing Volumes " ;'_ Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING <br /> Equipment: Swab-Aire ub Pump Bailer Sandpiper Other: <br /> Method Description' 4" <br /> Decontamination Method:'- <br /> Water Containment: rums baker tank ,,-other-7 <br /> Pum Vol.Water Temp. EC ^^ Observations <br /> - -� Time Rate Extracted FIC (umhos) ppH, color,turbidi ,oils,odor <br /> Start J- i 0o y ; <br /> SAMPLE INFORMATION <br /> Lab: <br /> Sampling Containers/Number of Containers/Analysis Preservation Description , <br /> 1 Liter Amber w, Ice and- <br /> - � r <br /> - 40 ml and �.r ti <br /> _ Other -- ice and ... , <br /> Time: w '. <br /> Device: Disposable Bailer% :Other: <br /> iinent Field Observations: <br /> -`rola Standard Sampling Protocol: _ �� <br />
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