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ARCHIVED REPORTS_XR0003902
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LODI
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2500
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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
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SJGOV\sballwahn
Tags
EHD - Public
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` i <br /> esP�irk <br /> ,,.. Ccrparatlion <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project cf Name { <br /> Job <br /> Date Lb is <br /> Sam lin Tearrr <br /> I �€ <br /> (Names/Res onsibilities) <br /> Purpose of Sampling <br /> Weather Conditions Initial Quarterly Verfication <br /> Other <br /> 4 l <br /> GROUNDWATER LEVELICASING VOLUME <br /> De thi1 <br /> Total Feet of Conversion <br /> Time TOC to GW De th Casin Volume <br /> Initial Water Factor a Gallons <br /> Ater develo / u� in !1 �t 1 ZS" 1 l <br /> At time of,Sam lin <br /> i E Three Casing Volumes <br /> 4Ten Casing Volun i Gals <br /> Gals <br /> WELL DEVELOPMENT/PURGING <br /> g <br /> Equipment: Swab-Aire Sub Pump Bailerandpiper Other: <br /> �--t Method Description: , <br /> i <br /> Decontamination Method: <br /> Water Containment: <br /> rums baker tank ' <br /> Labeled: .� other: <br /> up <br /> it <br /> n <br /> a <br /> I Pum Vol.Waterii <br /> Tem . <br /> du <br /> -time Rate Extracted FIC EC Fi Observations <br /> Start mhos <br /> I � color,turbidi ,ails,odor <br /> LL2 <br /> I. L 42 a <br /> Lab- SAMPLE INFORMATION <br /> p. <br /> Sampling Containers/Number of Containers/Anal sis I` <br /> 1 Liter Amber y Preservation Description <br /> ! and <br /> 40 ml Voa Pit- .� , Ice and ' <br /> Other. l <br /> Ice and <br /> Time:_ <br /> Device: Disp Bailer Other: <br /> 'ertinent Field Observations: <br /> Deviations from Standard Sampling Protocol: <br /> k <br /> i !i <br />
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