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ARCHIVED REPORTS_XR0003902
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LODI
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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 /> / Pjrk <br /> Corporation ¢ <br /> WELL',DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name l[ - <br /> Job# <br /> Date <br /> Sampling Team <br /> (Names/Responsibilities) <br /> a q.� *� <br /> Purpose of Sampling Initial Quarterly' Verfication Other " ' <br /> I <br /> .Weather Conditions <br /> GROUNDWATER LEVEUCASING VOLUME , <br /> " <br /> Depth .Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth - Water Factor Gallons «. <br /> -Initial �- r - <br /> -After develo ! ur in - �2 <br /> - r <br /> At time of Sampling -L41 Three Casing Volumes r� Gals-* <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING f LI <br /> Equipment: Swab-Aire Sub Pump r y Bailer Sandpiper Other: mm <br /> Method Description: <br /> Decontamination Method: <br /> Water Containment: `" rums baker tank other: k <br /> Label <br /> Pump Vol.Water - Temg. EC -" Qbservations'. <br /> — Time .. Rate Extracted F!C ti umhos H color,turbid' ,'oils,odor <br /> Start; <br /> Ll <br /> y <br /> SAMPLE INFORMATION a` <br /> Lab: 4E'Q 1 - <br /> Sampling Containers/Number of Containers/Analysis Preservation Description . .9 <br /> 1 Liter Amber ' <br /> lce - and <br /> ml Voa _ <br /> . f <br /> _40 prt- 6 - 0 and F ~ <br /> Other - - Ice and ` <br /> Time: <br /> Device: Disposable Bailer ✓ _ -Other. -- <br /> Pertinent Field Observations: - <br /> Deviations from Standard Sampling Protocol: <br /> i � <br />
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