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ARCHIVED REPORTS_XR0003628
Environmental Health - Public
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EHD Program Facility Records by Street Name
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K
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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_XR0003628
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Last modified
2/10/2020 5:45:13 PM
Creation date
2/10/2020 4:14:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003628
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
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SJGOV\sballwahn
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EHD - Public
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SHELL WELL MONITORING DATA SHEET <br /> _y <br /> Project # q 3 ! j Z Z _ j / wxc # SOt A4,1A 0 <br /> Sampler. L A t> Date Sampled: ,/,- 7, )'? <br /> 3 <br /> Well I D M 10j ! well Diameter. (circle one) 2 3 6 <br /> Total well Depth Depth to Water <br /> Before 7-3ej After Before 64 :2 o After <br /> Depth to Free Product- Thickness of Free Product (feet) : <br /> Measurements referenced to Grade Other -- <br /> v.m.•.on...,. r..•.r(ver) v ii u. vcr <br /> � a 7 <br /> •ai.u...r{ln) 6 4 W <br /> •7 114 ,.. . L 47 <br /> 1^•1n.�1.1 <br /> x 3 l <br /> 1 Case Volume Specs€sed Volumes = gallons <br /> Purging. Bailer ❑ Sampling: Bailer V t37rs' pF1>/Ltd j� <br /> • Middleburg o Middleburg o <br /> Electric Submersible A Electric Submersible o <br /> Suction Pump ❑ Suction Pump 0 <br /> Type of Installed Pu=p Installed Pump <br /> TIME TEMP phi COND TURBIDITY: VOLUME OBSERVATIONS. <br /> (F) REMOVED: <br /> r ei-zo 7, 9 `7 2c) <br /> C'c'-z 3 .65, 7. 7 7 0 , _ �, ! 3. o <br /> 010,5 6-5-• 7- 7, 7 790 . l0. 2010 <br /> Did Well Dewater?A/v If yes, gals. Gallons Actually Evacuated: <br /> Sampling Time: <br /> Sample I D. M 1 Laboratory- ` 1� O JA <br /> Analyzed for- -n>� r +E 7 <br /> Duplicate 13D 1 *� Cleaning Blank I.D <br /> Analyzed tor: <br /> shipping Notations: <br /> Additional Notations: <br />
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