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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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n <br /> / <br /> P*k <br /> Corporation <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name CASAti_ ( c S-f <br /> Job# Q s <br /> Date rnfrola� <br /> Sampling Team <br /> (Names/Responsibilities) <br /> Purpose of Sampling InitialQuarterl Verfication Other <br /> Weather Conditions <br /> _GROUNDWATER LEVELICASINGwVOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth Water Factor JGallons <br /> Initial /�- I L�� � � ,= � <br /> After develo / ur in <br /> At time of Sampling I L( 4';i I Three Casing Volumes Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING ' <br /> Equipment Swab-Aire Sub Pump Bailer Sandpiper Other <br /> Method Descnption C--� <br /> Decontamination Method �� L-, <br /> Water Containme drum baker tank other <br /> Labeled <br /> Pum Vol Water Temp EC Observations <br /> Time Rate Extracted (FAC (umhos) pH color turbidi oils odor <br /> Start4n 4 <br /> �J Z <br /> Lab <br /> SAMPLE INFORMATION <br /> ���� ' <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 ml Voa lam- — -'7rr--�-- T L r Ice and <br /> Other Ice and <br /> Time , <br /> Device Disposable Bader_ Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />
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