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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
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EHD - Public
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The <br /> / f Ark <br /> Corporation <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Name U, �-G <br /> Job# .—. <br />' Date l l {c} <br /> Sam Iln Team <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial 00uatey Verrication other <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Total Feet of Conversion—F Casing Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial i f <br /> After develo 1 ur in <br /> ' At time of Sampling Three Casing Volumes t.S Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment Swab-Aire Sub Pump Bad Sandpiper Other <br /> Method Description <br /> contaminatlon Method <br /> Weater <br /> Containment drum^ baker tank other <br /> Labeled�7)"M r2— <br /> Pump Vol Water Tem EC Observations <br /> Time Rate Extracted r C umhos H color turbidity ods odor <br /> start f a <br /> r t,5 <br /> r � <br /> SAMPLE INFORMATION <br /> Lab tom?2.p, <br /> ' Sampling Containers/Number of Containers/Analysts Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 ml Voa ( -!, = 4 -r-c-,c ,,r ;� ., Ice and <br /> Other Ice and <br /> ' Time <br /> Device Disposable Ballert,-� Other <br /> i0rtinent Field Observations <br /> eviations from Standard Sampling Protocol <br />
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