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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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A <br /> YJ <br /> Prk <br /> Vnvllc nmental • <br /> Lec�VlRL� A C1Cclfl Environment , <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Name IJEZ - LnQk <br /> Job# <br /> Date <br /> Sam finq Te r <br /> (Names/Responsibtlities) <br /> Purpose of Sampling Initial Quarterly Verficatton Other <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial , <br /> After develo 1 ur in <br /> At time of Sampling 2 Three Casing Volumes Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIP URGING <br /> Equipment Swab- ire Sub Pump Bader ndpiper Other <br /> Method Description <br /> Decontamination Method <br /> Water Contamm drum balqr tank other <br /> Labeled L <br /> Pump Vol Water T-e-mp EC Observations <br /> Time Rate Extracted F{4 (umhos) pH color turbidl oris,odo <br /> Start 7FT( I e7 EPa 0 / L-'M e0 <br /> �-,7 QJS <br /> 1 2 �2 r© <br /> i <br /> SAMPLE INFORMATION 1 <br /> Lab <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> I Liter Amber Ice and <br /> 40 ml Vo �_ _� ice and _ <br /> Other Ice and ' <br /> Time <br /> Device Disposable Sailer Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />
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