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ARCHIVED REPORTS_XR0003625
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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420
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3500 - Local Oversight Program
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PR0545336
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ARCHIVED REPORTS_XR0003625
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Last modified
2/10/2020 4:55:08 PM
Creation date
2/10/2020 4:12:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003625
RECORD_ID
PR0545336
PE
3528
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
02
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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-lopSHELL WELL MONITORING DATA SHEET <br /> Pro3ect #: Wic # 44ib <br /> . �StcIQ-t+ 1c�4 pZo'L <br /> Sampler: ya Date Sampled: 0-to <br /> Well I D. : Mw-14 well Diameter: (circle one) 2 3 Cf) 6 <br /> Total. Well Depth: Depth to Water: <br /> Before Ze After Beforet4GZi- After <br /> Depth to Free Product: Thickness of Free Product (feet) : <br /> Measurements referenced to: cv�) Grade Other <br /> Valu T.~(vim. ti...!ia vCY <br /> eai <br /> •2 a bb•.w a• • t 4 <br /> L.4UMs (!s} SC 4 @a <br /> ra.l.4_► r . L h <br /> X �J T1 J <br /> 1 Case Volume Specified Volumes w gallons <br /> Purging: Bailer 0 Sampling: Basler J6 <br /> Middleburg o Middleburg >D <br /> Electric Submersible M, Electric Sutxmrsible ❑ <br /> Suction Pump O Suction Pump a <br /> . Type of Installed Pump Installed Pump a <br /> TIME TEMP. pH COND TURBIDITY: GLOM. OBSERVATIONS: <br /> �1GZ- les b <br /> lid+ _1 L- tomato 7Zw J3 <br /> r� <br /> Did Well Dewater?00 If yes, gals. Gallons Actually Evacuated: <br /> Sampling Time: 010 <br /> Sample I D. : t,t„S_.f Laboratory: PST <br /> Analyzed for: �U <br /> Duplicate I.D. : Cleaning Blank I.D. : <br /> Analyzed for: SUrt+rr <br /> Shipping Notations: <br /> Additional Notations: <br />
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