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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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2500
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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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! j - <br /> r <br /> ENGINEERING, INC ' <br /> RCE#27011 Lc #537901 <br /> 8084 Old Auburn Rd.Suite E, Citrus Heights,CA 95510 <br /> WELL DEVELOPMENT/SAMPLING DOCU-MENTATION FORM <br /> Project Name t LC-, ^Lin _.� Job#_�S:[ f 10 l _ Well# ftit�l-1 ' <br /> Date Sample IDS <br /> Sampling Team <br /> Purpose of Sampling ❑ Initial ruarterly ❑ Verification ❑ Other ' <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME ' <br /> Depth Conversion Casing <br /> Description Time (TOC to GW) Total Depth -Feet of Water Factor Volume <br /> (ft to Gals) ( allonsl <br />.���nrtia! aL IS AD (ft <br /> �[�T � E <br /> After Development/ <br /> _-Purging q59 <br /> At Time of i [t Three Casing Volumes - ^Gals ' <br /> Sampling t Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING ' <br /> EquipmentSubmersrble Pump Bader ❑ Sandpiper ❑ Other <br /> Method t <br /> escnpt[on <br /> Decontamination Metha [gLwSP <br /> scnption <br /> Water Containment rums E-1 Baker Tants El Treatment System El other <br />-- Labeled �- <br /> Start Time Volume Water Temperature EC pH Observations <br /> Extracted `F/'C (umhos) (Color,Turbtity,Ods,Odor) <br /> IN <br /> 1 <br /> Lab <br /> SAMPLE INFORMATION <br /> 1 Liter AmbSampling Contalners/NO of Containers Preservation <br /> ❑ er <br /> Ice ❑ Other <br /> 40 ml VOA�%'[ �' � e ElOther <br /> Other � ice ❑ Other <br /> Devito\ ^ Bailer,Disposable El Other <br /> Pertinent Field Observations ' <br /> Devrauons From Standard Sampling Protocol <br />
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