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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
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SJGOV\sballwahn
Tags
EHD - Public
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n <br />' <br /> YY' The <br /> jrk <br /> Corporation <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name <br /> Job# <br /> Date I I (a <br /> Sam lin Team <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial +Quarterly Vertication Other <br /> Weather Conditions - <br /> GROUNDWATER LEVEUCASING VOLUME <br /> De2!h Total Feet of Conversion Casing Volume <br /> Time TQC to GW Depth Water Factor Gallons <br /> Initial S r l(0 2 S <br /> After develop/purging [ G� ` <br />' At time of Sam tin Three Casing Volumes S Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pum Bader ---Sandpjper Other <br /> � <br /> Method Descnption '7LL =C I,L <br /> J&ec <br /> ontamination Method (c iCiK - <br /> ater Containme `dru baker tank other <br /> Labeled L.f�? <br /> t <br /> Pump Vol Water Tem EC Observations <br /> Time Rate Extracted (umhos) H color turbidity oils,odor <br />' Start <br /> It 2,5 <br /> 11307 � <br />' t � <br /> 1 <br /> Lab <br /> SAMPLE INFORMATION <br /> _ ����� <br />' Sampling Containers/Number of Containers/Analysis <br /> Preservation Description <br /> 1 Liter Amber Ice and <br />' n 40 ml Voa ►tet-.L-n -t- TL-r^Y- Ice and <br /> Other Ice and <br /> Time <br /> Device Disposable Bailer-----y Other <br /> rtment Freld Observations <br /> Deviations from Standard Sampling Protocol <br />
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