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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 /> Y <br /> YPark <br /> y <br /> En4 <br /> vironmental <br /> Leaving A Clean Environment <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect <br /> ,lob# <br /> Date <br /> samefIng Te m <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial Quarterly Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVEUCASING VOLUME <br /> Depth Total Feet of Conversion Cas;ng Volume <br /> TimeT to G e t water( Factor Gallo <br /> Initial < < <br /> After deveio J ur +n r <br /> At time of Sameling Three Casting VolumesGals <br /> Ten Casing Volumes Gals , <br /> _ WELL DEVELOPMENTIPURGING <br /> Equipment Swab-Aire sub P 01 r !Jn�diper Other <br /> Method Descriptton <br /> Decontamination Method , <br /> Water Contain d m ker to r other <br /> Labefe7dp!L� (+� <br /> Pump Vol Water mp EC Observations , <br /> Time Rate ExIA@cted FJ urnhos H I color turbid! oils odor <br /> start Z <br /> ilz d - I le rf 10.!J <br /> t <br /> SAMPLE INFORMATION <br /> Lab f)�L <br /> Sampling Containers/Number of Containers/Analysis Preservation Description t <br /> 1 Liter Arnbe Ice and <br /> 40 ml Voa _ ft— -�� _ �G_ Ice and <br /> Other Ice and <br /> Time <br /> Device Disposable Bailer Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />
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