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ARCHIVED REPORTS_XR0003907
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_XR0003907
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Entry Properties
Last modified
3/5/2020 5:35:34 PM
Creation date
3/5/2020 4:49:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003907
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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A1YF <br /> $- <br /> YPark,, <br /> �' Environmenta <br /> LcivinC)A�{E'aTl Environrri r1tli <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name A- L "- <br /> Job# CS <br /> Date c� <br /> sampling Team <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initialt!!12 <br /> Verrication — Other <br /> Weather Conditions _ <br /> GROUNDWATER LEVEUCASING VOLUME <br /> De th Total Feet of L Conversion Casing Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial P 0q Kv <br /> After develo l ur rn <br /> At time of Sarriefing Three Casing Volumes q Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING <br /> Equipment Swab-Afire Sub Pump BAller andpiper Other <br /> Method Description L i <br /> Decontamiriabon Method k� . <br /> Water Contamm rums bakertank other <br /> Labeled s2f& 2 <br /> Pump_ Vol Water 7emp EC Observations <br /> Time Rate Extracted G umhos N color turbidity oils,odor <br /> r 2 <br /> 1 <br /> SAMPLE INFORMATION <br /> Lab _ - - - In-Ix - - - - - - - - - <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 9 Liter Amber Ice and <br /> 40 ml Voa Ice and SILL-. <br /> Other Ice and <br /> Time 12'-((-) <br /> Device Disposable Bailer Other <br /> Pertinent Field Observations <br /> Deviations From Standard Sampling Protocol <br />
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