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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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A <br /> / <br /> P*k <br /> Corporation <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project NameuL-4 L&C)t_ <br /> Job# cam T — <br /> Date t i q(a ' <br /> Sampling Team fL�S <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initialuerterly Verfication Other <br /> Weather Conditions <br /> _GROUNDWATER LEVEUCASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW De th Water Factor Gallons <br /> Initial � 2c5 IS,�' r� S <br /> After develop/purging ,q 11 <br /> At time of Sam lin it 2 Three Casing Volumes 5 Gals ' <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING ' <br /> Equipment Swab-Acre Sub Pump Bailer Sandpiper Other <br /> Method Description -+ (Vivi <br /> Decontamination Method 7c ) ( <br /> Water Containment drumf, baker tank other <br /> Labeled }s <br /> to to <br /> Pump Vol Water Te,mp EC Observations ' <br /> Time Rate Extracted ( Ft __Lumhos H Calor turbidi oils odor <br /> Start ( ( D ' <br /> tL <br /> LS7, <br /> Lab <br /> SAMPLE INFORMATION <br /> tb��, ' <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 ml Voa t N , �.- F'-rte Ice and <br /> Other Ice and <br /> Time <br /> Device DisposableBaller,,�Y Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />
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