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ARCHIVED REPORTS_XR0003906
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_XR0003906
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Entry Properties
Last modified
3/5/2020 6:47:02 PM
Creation date
3/5/2020 4:49:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003906
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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J J 1 <br /> Ar <br /> 1 <br /> envPark <br /> I <br /> Leaving A Clean Environment <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name oL L` <br /> Job# <br /> Date <br /> Sam lm am S <br /> (Nam es/R esponsibi Idles) <br /> Purpose of Sampling Initial Quarterly Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVEVCASING VOLUME <br /> Depth Total Feet of Conversion Casin2 Volume <br /> Time TOC to.GW De th Water Factor Gallons <br /> Initial ,o 1 f ,2 <br /> After develur in <br /> At time of Sampling Three Casing Volumes Gals <br /> Ten Casing Volumes Gals ' <br /> WELL DEVELOPMENTIPURGING <br /> Equipment Swab-Aire � Sub Pum e Bailerndpiper Other <br /> Method Description Eft cr7 <br /> Decontamination Method <br /> Water Containm ' rums (( baker tank other <br /> Labelednd,� Imo. 3? =:i(X �I. <br /> Pump Vol Water Temp EC Observations <br /> Time Rate Extracted 0YC umhus H color turbidoils odor <br /> Start t* <br /> ! � <br /> lot U 4A2. :qw <br /> 1 <br /> SAMPLE INFORMATION <br /> Lab <br /> Sampling Containers/Number of Containers/Analysis Preservation Descrlpbon <br /> I Liter Amber Ice and <br /> 40 ml Voa - .-1- ice and <br /> Other Ice andTime <br /> Device Disposable Bailer Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol _ _ <br />
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