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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 /> / Pirk <br /> Corporation <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION'FORM <br /> Project Name t 6A- Lmt <br /> Job# F <br /> Date <br /> Sampling Team <br /> T .» • <br /> (NameslRes onsibilities) <br /> r <br /> Purpose of Sampling Initial I Co,,rteriy) Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br /> �- - <br /> Depth Tota1; Feet of Conversion Casing Vo[ume <br /> 'Time TOC to GW Depth Water Factor (Gallons)�. <br /> -initial Rkil <br /> After develop/purging it f I12.D • .. - - .. I� <br /> At time of Samlin . Three Casing Volumes Gals <br /> -- Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment: Swab-Aire Sub Pump Baile Sandpiper Other: l - <br /> Method Description! 2 t m ~' "^ wR N'7 <br /> Decontamination Method: <br /> Water Containment:— rums baker tankother. <br /> Labeled. fl�y <br /> Pump Vol.Water Temp. EC - '` -""Observations � <br /> Time Rate Extracted ►FIC (umhos) pH color,turbidity,oils,odor {' <br /> Start <br /> < I _ .. <br /> 92 <br /> .1, <br /> SAMPLE INFORMATION <br /> Lab: <br /> Sampling Containers/Number of Containers/Analysis x Preservation Description <br /> 1 Liter AmberIce , and - <br /> 40 mland <br /> Other Ice ander <br /> y <br /> ~Time: <br /> Device: Disposable Bailer✓ Other - <br /> Pertinent Field Observations: <br /> Deviations from Standard Sampling Protocol: ,' U <br />
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