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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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2500
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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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A <br /> The <br /> / PArk <br /> C a r p a r a t i o n ' <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Name L-o p I ' <br /> VJ — <br /> Job# so5q <br /> Date I — Gt 7 <br /> Sampling Team 1� <br /> (Names/Responsibilities) <br /> Purpose of Sampling Indialuarteriy Vertication Other <br /> Weather Conditions <br /> GROUNDWATER-EEVELFCASING VOLUME , <br /> De th Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial <br /> After develop/purging <br /> At time of Sam lin E) Q c{ t S I Three Casing Volumes Go Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING , <br /> Equipment Swab-Aire =PUMP), <br /> ri Bailer Sandpiper Other <br /> Method Descriptioni ,- <br /> Decontamination Method <br /> Water Containment drums baker tank other <br /> Labeled _ _ _ <br /> Pump Vol Water Temp EC Observations <br /> Time Rate Extracted FIC umhos H color turbidity oils odor <br /> Start <br /> Lab <br /> SAMPLE INFORMATION <br /> } 2Yl <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 22 40 ml Voa 3 , ce and <br /> Other ce and <br /> Time UIq 0 <br /> Device Disposable Bailer Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />
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