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ARCHIVED REPORTS_XR0003903
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_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 /> / The <br /> 'A , <br /> / rk <br /> Corporation , <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name 1 <br /> Job# SQ— :-2- <br /> Date _ I <br /> Sampling Team ,',2 V- <br /> {NameslResponsibilities) <br /> Purpose of Sampling initial Quart Verfication Other <br /> Weather Conditions <br />-- GROUND WATER-LEVEVCASING-VOLUME <br /> Depth Total Feet of ConversFon casing Volume ' <br /> Time TOC to GWDe th Water Factor (Gallons) <br /> Initial O <br /> Ager develo / ur in <br /> At time of Sampling I I oZ Three Casing Volumes _ Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING ' <br /> Equipment Swab-Aire Sub Pump i t Bailer Sandpiper Other <br /> Method Description <br /> Decontamination Method 5i��- <br /> Water Containment drums baker tank <br /> Labeied _ _ _ _ _ � _ _ _ _other <br /> Pum - <br /> Vol Water Tem EC Observations <br /> Time Rate Extracted FIC {umbos H calor turbidityoils odor <br /> Start h� <br /> ` <br /> Lab SAMPLE INFORMATION <br /> 1 E� �� <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber I and <br /> 40 ml Voa _ -f- �-,� Ice and <br /> Other —' Ice and <br /> Time _ <br /> Device Dlsp lb easo Barter Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />
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