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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 /> Ye iii <br /> P�m <br /> Corporation <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Name A. LOi 1 \K -- S <br /> Job# 2- <br /> Date <br /> Date _ i(a_ Ci 7 <br /> Sampling Team <br />' (Names/Responsibilities) <br /> Purpose of Sampling InitialQ eriy Verfication Other <br /> Weather Conditions ��i <br /> GROUNDWATER LEVELICASiNG VOLUME <br /> De th Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial p 6 ` 3cP <br /> After develo 1 ur in <br /> At time of Sam lin +0001 Three Casing Volumes 4 Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOP MENTIPURGING <br /> Equipment Swab-Aire Sub Pump l3a:ler Sandpiper Other <br /> loMethod Description <br /> Decontamination Method <br /> Water Containment ms baker tank other <br /> Labeled <br />' <br /> Pume Vol Water Tem EC <br /> SNL Observations <br /> Time Rate Extracted FIC umhos H (color turbidi oils odor <br />' Start to <br /> � I O <br /> 5 <br /> ` L <br /> Lab SAMPLE INFORMATION <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> I Liter Amber Ice and <br /> -2, 40 ml Voa --i f- �� and er <br /> Other ice and <br /> Time i I <br /> Device Disposable Bailer Other <br /> erlrnent Field Observations <br /> Deviations from Standard Sampling Protocol <br />
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