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ARCHIVED REPORTS XR0004103
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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2448
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3500 - Local Oversight Program
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PR0544300
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ARCHIVED REPORTS XR0004103
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Entry Properties
Last modified
4/2/2019 4:00:23 PM
Creation date
4/2/2019 3:46:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004103
RECORD_ID
PR0544300
PE
3528
FACILITY_ID
FA0003855
FACILITY_NAME
TESORO (SHELL) 68153
STREET_NUMBER
2448
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05814001
CURRENT_STATUS
02
SITE_LOCATION
2448 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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DOOLOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: p1tramar Sampling Date:_ 2-2, 7-15 <br /> Site: Beacon 1696 Project No. : 94-§26-D1-- <br /> 2448 West <br /> e a well Designation:_ MW-33 <br /> Lodi, CA <br /> Is setup of traffic control devices required? O YES time: hours <br /> Is there standing water in well box? YES Above TOC Below TOC <br /> Is top of casing cut level? 0-2� If no, see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser (in inches) : i <br /> Well cover type: 8" UV 12" UV12" EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI her <br /> General condition of wellhead assembly: Excellent (ooi Fair Poor <br /> I <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> i <br /> Sampled with: Disposable bailer Teflon bailer: j <br /> Well Diameter: 2" 44 6" Sol- <br /> Purge <br /> "Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial ement Recharge Mggsurement <br /> Time: Time:_ k Calculated purge: 11 <br /> Depth of well: 7 Depth to water.. 5�to Actual purge: ji k z <br /> Depth to water: <br /> Start purge: Mq Sampling time: '.z.0 <br /> Time Temp. E.C. pH Turbidity Volume <br /> C 1% 7/0 <br /> d fo 6 It 7o �... <br /> -71)6 <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock 13753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> MEMNON <br /> Remarks: <br /> Signature: V- 40'e <br />
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