My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0003897
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
L
>
LODI
>
2500
>
3500 - Local Oversight Program
>
PR0545420
>
ARCHIVED REPORTS_XR0003897
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/5/2020 6:10:00 PM
Creation date
3/5/2020 4:46:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003897
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
45
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
LLU <br /> � ENGINEERING INCRCE#27011 LiC #537901 , <br /> 8084 Old Aubum Rd.Suite E Cdrus Heights,CA 95610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM , <br /> Project Name_LAt►-L11Z_11 job#_7220� Well # �-`i- <br /> Date t IL,,ft Sample ID UO I Sampling Team "� <br /> Purpose of Sampling ❑ Initial Quarterly ❑ Verrficatron ❑ Other <br /> Weather Conditions ' <br /> GROUNDWATER LEVEL/CASING VOLUME ' <br /> Description Timms Depth Conversion "�a g(TOC toGW) Total Depth Feet of Water Factorsume#to s1lonsl ' <br /> Initial <br /> After Development( n r .42 <br /> ' <br /> -PurgingG a- L (} <br /> At Time of r Three Casing Volumes '+ Gals ' <br /> Sampling i Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment xSubmersible Pump ❑ Bailer ❑ Sandpiper <br /> ❑ Other <br /> Method Q-�l� <br /> Lescripton I Decontamination Meth od � :- <br /> cK� <br /> cnption <br /> erentprur ❑ ❑ <br /> Baker Tank Treatment System ❑ Other <br /> Labeled r <br /> wad— <br /> Start Time Volume Water Tempe re -EG- <br /> Extracted •F Observations <br /> (umhos) pH ' <br /> 1 /I^ (Color,Turbrtrty,Oils,Odor) <br /> SAMPLE INFORMATION <br /> Lab <br /> ❑ 1 Liter Amber Sampling Containers/No of Containers Preservation <br /> 3X40 ml VOA �❑ Ice El Other <br /> !J Other l e El Other <br /> ❑ Ice El Other <br /> Device Sailer,DEsposable ❑ Other <br />"Pertinent field Observations <br />,-..,nations From Standard Sampling Protocol . <br />
The URL can be used to link to this page
Your browser does not support the video tag.