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ARCHIVED REPORTS XR0004156
Environmental Health - Public
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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 XR0004156
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Entry Properties
Last modified
4/2/2019 4:00:20 PM
Creation date
4/2/2019 3:55:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004156
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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SIIr6VnZ1I1RWAL SAMPLING INFORMATION SHEET <br /> ^ 9-A <br /> � I <br /> C:lent.. 9A CDAI Project No: --73 <br /> Site: Z� - ,� Well Designation: , ,� <br /> ka2>r , C4. <br /> Purging Equipment: X 2" Disposable bailer <br /> 2" PVC bailer Submersible pump <br /> 4" PVC bailer Dedicated bailer <br /> Sampled with disaosai bailer: Teflon Bailer: Q <br /> Well Diameter: 2" X 3" 4" _ 6" S" <br /> Purge Vol. Muitiplier: Q.163 0.367 0.653 1.47 2.61 gau/ft. <br /> Initial Mensurment Recharge Measurement <br /> Time: Time: Calculated purge: <br /> Depth of well: -t,a`a Depth to water: Actual purge: <br /> Depth to water: <br /> Meter Calibration Temo. E.C. pH Turbidity <br /> Date Initial reading <br /> Time Adjusted reading <br /> Start purge: Sampling time: Sampling Date:�� <br /> Time Tema. E.C. pH Turbidity Volume <br /> Sample appearance: <br /> aC samples collected at this well: Lod*: <br /> Equipment,replaced: (Check al! that appiyl Note conaidon at replaced item. <br /> 2" Locking Cap: Lock #2357: <br /> 4" Locking Cao: Lock #3753: <br /> Remarks: <br /> Signature Review <br />
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