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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 /> Park <br /> Envrronmental <br /> Leaving A Clean Environment , <br /> .' WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> J <br /> Protect Name C r ��IL ~ <br /> .lob# ' <br /> Date _ R_ K42 <br /> Samelirg Tearyil <br /> (Names/Responsibilities) , <br /> Purpose of Sampling initial Quarterly Verrcatmn Othe r <br /> Weather Conditions <br /> GROUNDWATER L.EVEVCASING VOLUME <br /> DeLAh Total Feet of Conversion casing Volume <br /> Time Tp tg G -Depth Water Factor Gallons <br /> Initial <br /> After develo ! ur In <br /> At time of Sam lin ry Three Casing Volumes i5 GaIS <br /> Ten Casing Volumes Gals ' <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pum ader Sandpaper Other <br /> Method Description <br /> Derorttaminatso d <br /> Water Contasn ent ms ba er tank other <br /> Label <br /> Pump Vol Water Tkmo EC Observations <br /> Time Rate Ext cted F! umhos H color turbidity oils odor <br /> Startr I� l,(ry,(1l*D <br /> �/ <br /> r z f-rar� <br /> C <br /> SAMPLE INFORMATION <br /> Lab <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 ml Voa — ti Ice and ski <br /> Other �T Ice and ^" ' <br /> Time <br /> Device Disposable Bailer Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />
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