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ARCHIVED REPORTS_XR0003903
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_XR0003903
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Entry Properties
Last modified
3/5/2020 6:13:35 PM
Creation date
3/5/2020 4:47:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003903
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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n <br /> 7Ae <br /> Pjrk <br /> C o r p o r a t I o n <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name <br /> .yob # p- �Z � I V�1 - 7 <br /> Date _ <br /> jSam lin Team tt t <br /> (Names/Responsibilities} <br /> Purpose of Sampling Initial �uarterl Verficatron <br /> Weather Conditions ;Ari 2 other <br /> GROUNDWATER LEVEUCASING VOLUME <br /> De th Total Feet of Conversion <br /> Time TQC to GW De th Casing Volume <br /> Initial Water Factor (Gallons <br /> After deveio / ur in <br /> At time of-,;.qrnni11mm <br /> Z <br /> Three Casing Volumes Gals <br /> Ten casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pum <br /> v p rt Basler Sandpiper Other <br /> Method Description <br /> fl <br /> Decontamination Method e <br /> IDWater Containment drums <br /> baker tank <br /> Labeled �� �l other <br /> Pum Vol Water Tem EC <br /> Time Rate Extracted F/C U Observations <br /> Start �M umhos H (color turbidity oris odor <br /> Z <br /> Lab <br /> SAMPLE INFORMATION <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> Liter Amber Ice and <br /> 3 40 ml Voa F� -- � rt,-r I ce and <br /> Other � L-- <br /> Ice <br /> Ice and <br /> Time OTZ6 / <br /> Device Disposable Sailer ✓ Other <br /> ertment Field Observations <br /> Deviations from Standard Sampling Protocol <br />
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