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ARCHIVED REPORTS XR0004156
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 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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SAMPLING INFQRMATiON SHEET <br /> Client: Protect No: -7,3 <br /> Site: 2441 1 - _TT' .n_2 ! Weil Designation: m 1.� <br /> E <br /> Purging Equipment: 2" Disposable mailer x � <br /> Z" PVC bailer Submersible pumA <br /> 4" PVC bailer Dedicated baiier <br /> j <br /> Samoied with disoosai bailer: <br /> Teflon Bailer: 6- <br /> F <br /> 8' <br /> Well Diameter: 2" _ 3" _ 4" ---- <br /> purge Vol. Multioder: 0.163 0.267 0.663 1.47 2.61 A�fft• <br /> Initini Meesutment Reena a MeesureM-ent <br /> i�5a�' Time: Calculated purge: *1 <br /> Time:] <br /> Depth of well: Depth to water:_, Actual purge: <br /> Death to water: <br /> Meter Calibration Tema. E.C. pH Turbidity <br /> Date tnitiai reading <br /> Time Adjusted reeding <br /> Start purge 1 T'.1S Sampling time: I Sampiing Date: <br /> Time Tema. E.C. pH Turgidity Volume <br /> i <br /> 54 , 9 - <br /> .X7 <br /> lO <br /> Sample appearance: C lP r <br /> QC samples collected at this weil: Lack: <br /> Epulptment•replaceb: Ichecx ail that appsyl Nate condition: of replaced item. <br /> Lock #2357: <br /> 2" Locking Cap: Lo .�.. <br /> 4" Locking Cap: Lack #3753: � <br /> Remarks: <br /> Review <br /> Signature <br />
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