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ARCHIVED REPORTS_XR0003905
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_XR0003905
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Entry Properties
Last modified
9/14/2020 5:17:32 AM
Creation date
3/5/2020 4:48:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003905
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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1A <br /> 2f5 <br /> 1 <br /> )' Park <br /> Env�ronmer�tal tit <br /> ung A Clean Environment <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name it <br />' Job <br /> Date t0 , <br /> Sam Ein Team 2tS <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial uarteri Verflcatwn other <br /> Weather Conditions <br /> GROUNDWATER LEVELICASING VOLUME <br />' ___Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW De Water <br /> Initial 2 th Factor <br /> Gallons <br /> ' Ste,=,0 ! ,4S �t(�, 2 5 <br /> After develo 1 ur ina <br /> At time of Sam lin I L� <br /> Three Casing Volumes �. Gals <br /> Ten Casing Volumes Gals <br /> ' WELL DEVELOPMENTIPURGING <br /> Equipment Swab-Aire tbub Pump Bailer Sandpiper Other <br /> Method Description Lu QF�t <br /> Decontamination Method �^ <br /> Water Containment rums baker tank <br /> ' Labeled p� t,.(n, p other <br /> � 1C7t t <Rf-. <br /> Purne Vol Water Tem EC <br /> Time Rate Extracted Observations <br /> Start umhos H color turbidity oils odor <br /> 110 40 <br /> Lout I <br /> 1 _ <br /> Lab E77_,61 SAMPLE INFORMATION <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> ' — 1 Liter Amber Ice and <br /> 40 ml Voa �"��E-,y ��,r-..� E f Ice and <br /> r Other Ice and <br /> ' Time <br /> Device Disposable Bailer✓— Other <br /> ' rtinent Field Observations <br /> Deviations from Standard Sampling Protocol �TFtZ [OT <br />
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