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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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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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I 'Ar <br /> Park <br /> Environmental X <br /> ving A Crean Environment <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name _ _A- <br /> ' Job# <br /> Date <br /> Sam lin Team Lanr <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial Quarterly Verfication Other <br /> ' Weather Conditions <br /> GROUNDWATER LEVELJCASING VOLUME <br /> De th Total Feet of Conversion Casin <br /> Volume <br /> Time T C to GW De th Water Factor Gallo <br /> ' initial <br /> After develo I ur rn <br /> At time of Sam lin 2 2 Three Casing Volumes Gals <br /> ' Ten Casing Volumes Gals <br /> WELL, DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pum Lader Sandpiper Other <br /> 4 Method Description y o <br /> Decontamination ethod <br /> ' Water Gontainm ni rums baker tank other <br /> Labeled �,�, <br /> Pum Vol Water Tem EC Observations <br /> ' Time Rate Extracted C (umhus H color turbicirty ods odor <br /> Start j <br /> t 'L2 Z <br /> rc2 � Iry <br /> 6r ,� <br /> Lab <br /> 1 <br /> ' SAMPLE INFORMATION <br /> [I��.t� <br /> ' Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 m! Vo - 4 Ice and <br /> Other Ice and <br /> � Time <br /> eDevice Disposable Baller.,� Other <br /> ertinent Field Observations <br /> 1 <br /> Deviations from Standard Sampling Protocol <br /> N , <br />
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