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ARCHIVED REPORTS_XR0003890
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545420
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ARCHIVED REPORTS_XR0003890
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Entry Properties
Last modified
3/5/2020 5:17:10 PM
Creation date
3/5/2020 4:42:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003890
RECORD_ID
PR0545420
PE
3528
FACILITY_ID
FA0003815
FACILITY_NAME
TESORO (SPEEDWAY) 68154
STREET_NUMBER
2500
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
02740006
CURRENT_STATUS
02
SITE_LOCATION
2500 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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" t <br /> ikr - <br /> r (4 <br /> ORIGINAL STATE OF CALIFORNIA <br /> " <br /> THE RESOURCES AGENCY _ Do not fill in"" <br /> 1 File with DWR DEPARTMENT OF WATER RESOURCES _ <br /> r WATER WELL DRILLERS REPORT N0. 3 04 3.4 9 <br /> Notice of Intent No. <br /> Luca]permit Na.or Date 93-0103 1/26/93 State Well Nm <br /> Other Well No. <br /> (1) OWNER; Name DSA Petroleum Co (12) WELL!LOC: Total depth 60 ft. Completed depth 60 ft", <br /> Address 2701 Qqean Park R1_yLL,,_,qUj_te 210 <br /> —Santa <br /> City from ft. to ft. Formation(Describe by color,character,size or materia!)" . <br /> ZIP " <br /> (2) LOCATION OF WELL (See instructions): — <br /> County San Joaquin_ Owner's Well Number MW8 - See Bore hole Logs 7. <br /> Attached . r <br />' <br /> Well address if different from above 2600 W. LOCM Ave. , -Lodi CA — • <br /> 10 <br /> Township 3N Range 6E Section — <br /> Distance from cities, roads, railroads, fences,clic. 60'S and 1 90 r W <br /> of SW corner of intersection of Lower - <br /> Sacramento Road & Lodi Ave. _ <br /> (3) TYPE OU WORK: <br /> See Figure 3 New Well EN Deepening <br /> Reconstruction ❑ — <br /> Itcconditioning ❑ i <br /> Horizontal Well ❑ — If <br /> " Destruction ❑ (Describe <br /> destruction materials and pro- <br /> cedures in Item 12) <br /> (4) PROPOSED US . <br /> Domestic <br /> Irrigation <br /> Industrial ❑ <br /> Test Well O ❑ <br /> k' Murlici ❑ Q <br /> o ter icor <br /> WELL t OCATION SKI.TCH o ibe) i <br /> (5) EQUIPMENT: CRAV , CK: — <br /> Rutary [N Reverse ❑ s Nu Si" <br /> Cable ❑ Air ❑ <br /> met� of bort <br /> Other ❑ Buckc a cd rom — r' <br /> (7) CASINO INSTALLED; (tt) PLtA .I 5: _ <br /> Steel"❑ Plastic © n c Tyt of fo�'onorsizenf <br /> From D' Cage or t — <br /> ft. f Wall t. size <br /> (9) WELL SEAL: <br /> Was surface Sanitary seal provided? Yes ® No ❑ If yes to depth •5-Surf ft. _ <br /> f' <br /> Were strata scaled against pollution? Yes f3 No D Interval.-.30,--5 it — .. •... <br /> Mcthod of scaling TreMMIL, Work started 7/8 19 3"'Completed_L_2/8 ' 19� ` <br /> (10) WATER LEVELS: WELL DRILLER'S STATEMENT: <br /> ' Depth of first water,if known ft. <br /> 0.0 On 2/8/93 . et 'T'hfs well was r ed and m tion and'this-report is true to"the <br /> Standing level after well completion hest of mr k led ar in '.r ,:•Agent•.for:Woodward, <br /> (11) WELL TESTS: ;"Dril-ling 'Company.". <br /> Was well test made? Yes ❑ No is I[ whom? Signed <br /> yes,by � .. "• (Welt Driller) <br /> Type of test Pump ❑ Bauer © Air lift ❑ NA Woodward r ilin "'CGm an <br />' s. <br /> Depth to water at start of tat ft. At end of lest ft, (Person,firm,of torporalron)(Typed or printed) i <br />'* Ad ress -_ P_O: 'Box 336 <br /> Discharge gal/min atter ]ours Water temperature <br /> Chem ical analysis made? Yes ® No ❑ Ifyes bywhom? City _ Rlo Vista '', CA :.,•Zlp'94571 <br /> Was electric l made Yes 0 No f$ If yes,attach copy tnthis report License Nn. C57 581689 Dale of this report 2�'ti <br />
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