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ARCHIVED REPORTS_XR0003901
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LODI
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3500 - Local Oversight Program
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PR0545420
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ARCHIVED REPORTS_XR0003901
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Entry Properties
Last modified
3/5/2020 5:28:22 PM
Creation date
3/5/2020 4:47:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003901
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
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ELL lu ENGINEERING, INC ' <br /> RCE#27011 t,]c #537901 <br /> 8084 Old Auburn Rd,Suite E, Citrus Heights,CA 95610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM ' <br /> Project Name ~ UcrD t <br /> E _ •--. Job# 'RX21 i Q9� Well# KA [^� _ <br /> DateA � <br /> Sample ID LAv.,L—C� <br /> Sampling Team <br /> Purpose of Sampling ❑ Initial Ppouarteriy ❑ Venfica#on ❑ Other ' <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME ' <br /> Depth Conversion Casing <br /> Description Time (TOC to GW) Total Depth Feet of Water Factor Volume <br /> {ft togals) (gallons) <br /> After Development/Purgf ��r <br /> At Time of Three Casing Volumes Gals ' <br /> Sam ling Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING ' <br /> Equipment ❑Submersible Pump �13ajler ❑ Sandpiper ❑ Other <br /> Method 'PSKL. 'L— <br /> ". .. ' <br /> Decontamination Method ription <br /> Description <br /> Water Containment rums E:1 Baker Tank ❑Treatmentatment System E] Other <br /> Labeled <br /> Start Time <br /> Volume Water Temperature EC pH Observations <br /> _ t <br /> Extracted "�C <br /> (umhos) (Color,Turbr#ty,Ods,Odor) <br /> I D Z2. <br /> C Z�, <br /> 1 <br /> SAMPLE INFORMATION ' <br /> Lab <br /> Sampling Containers/No of Containers Preservaton <br /> ❑ 1 Liter Amber <br /> Ica 1:1 Other <br /> 40 ml VOA ce E) Other <br /> Other 0 <br /> Ice El Other <br /> , <br /> Device ader,Disposable El Other <br /> Pertinent FId Observa#ons <br /> Deviations From Standard Sampling Protocol <br />
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