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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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n <br /> The <br /> / f irk <br /> C0rparatIcn <br /> WELL DEVELOP MENTISAMPLING DOCUMENTATION FORM <br /> Project Name A- L Q Q>'I /4 A,�,,J <br /> Job# — { <br /> 1 Date _ ti _ -7 <br /> Sampling Team le, ,,7. <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial uarte Verfication <br /> Weather Conditions ��st 2 otner <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> De th Total Feet of Conversion Casing Volume <br /> Initial <br /> Time TOC to GW De th Water Factor (Gallonsli <br /> O <br /> After develo ! ur m <br /> 1 At time or Sam lin !! 3 53 Three Casing Volumes <br /> C� Gals <br /> Ten Casing Volumes Gals <br />' WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pum Bailer Sandpiper Other <br /> Method Description <br /> Decontamination Method <br /> Wafer Containment drums baker tank <br /> Labeled other <br /> Pum Vol Water Tem EC <br /> L Observations <br /> Time Rate Extracted FIC umhos Fi color turbii <br /> Start doils odor <br /> �o <br /> SAMPLE INFORMATION <br /> Lab p <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> ' 1 Liter Amber Ice and <br /> --�g 40 ml Voa r� (::.,—+ i , C Ic and <br /> Other Ice and <br /> 1Time 1198 <br /> - �/ <br /> Device Disposable Balser Other <br /> ertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />
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