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ARCHIVED REPORTS_XR0003904
Environmental Health - Public
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EHD Program Facility Records by Street Name
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L
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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_XR0003904
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Entry Properties
Last modified
3/5/2020 7:04:42 PM
Creation date
3/5/2020 4:48:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003904
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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SJGOV\sballwahn
Tags
EHD - Public
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� r <br /> / P <br /> The <br /> / *k <br /> Corporation <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect NameLL;iLl, <br /> Job# S ' <br /> Date r <br /> Sam lin Team <br /> (Names/Res onsibilities) r <br /> Purpose of Sampling Initial Quarterly Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVEVCASr <br /> ING VOLUME <br /> Depth 'total Feet of Conversion Casing Volume ' <br /> Initial <br /> Time TOG to GW Depth Water Factor Gallons <br /> , S <br /> After develop/purging <br /> At time of Sampling Three Casing Volumes 10,E <br /> Gaffs <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING ' <br /> Equipment Swab-Aire Sub Pum Bailerandpiper Other <br /> Method Description <br /> Decontamination Method <br /> Water Containmentrum baker tank <br /> Labeled other <br /> r <br /> Pum Vol Wafer Tem �f EC <br /> Time Rate Extracted Observations <br /> C Fi color turbid oils odor r <br /> Start { I <br /> 20 r I r <br /> --------------- <br /> Lab r <br /> r <br /> SAMPLE INFORMATION r <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Luer Amber Ice and <br /> 40 ml Voa Ice and r LL-- <br /> Other Ice and <br /> Time r <br /> Device Dlsp�`sable Bailer✓ Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br /> r <br /> 1 <br />
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