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ARCHIVED REPORTS_XR0003906
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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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
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SJGOV\sballwahn
Tags
EHD - Public
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Az <br /> YYJ � <br /> Parky <br /> Environmental ft <br /> LeaVing A Clean Environment <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name s V.L-• I <br /> Job# <br /> Date R <br /> Sam 1m Team <br /> (Names/Responsibilities) <br /> Purpose of Sampling InitialQuarterly Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVELlCASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TO to GW Depth Water Factor Gallons <br /> Initial 3F <br /> After develo 1 ur in <br /> At time of Sampling ! Three Casing Volumes ! Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pump �7 Sailer ndpiper Other <br /> Method Description G" <br /> Decontamination Method i,,L ' <br /> Water Contain ent drums baker tank other <br /> Labeled �*�Q_tt_' <br /> Pump Vol Water —Temp EC Observations <br /> Time Rate Extracted F C umhos H color turbidityoils odor <br /> Start +�[ <br /> 2 f e <br /> ; 1 <br /> SAMPLE INFORMATION ' <br /> Lab <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 ml Voa -F Ice and <br /> Other Ice and <br /> Time . <br /> Device Disposable Baileri.,� Other 1 <br /> Pertinent Field Observations 1 <br /> Deviations from Standard Sampling Protocol <br />
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