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ARCHIVED REPORTS_XR0003906
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_XR0003906
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Entry Properties
Last modified
3/5/2020 6:47:02 PM
Creation date
3/5/2020 4:49:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003906
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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'Ar <br /> Park <br /> � Environmental <br /> n9 H Clean Environment <br />' WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Protect Name ` y <br />' t <br /> # <br /> lin am <br /> ' (Names/Responsibilities) <br /> Purpose of Sampling Initial CEDtedyVerticatlon Other <br /> Weather Conditions <br /> GROUNDWATER LEVEVCASING VOLUME <br /> ___Depth Total Feet of Conversion Casing Volume <br /> Initial <br /> Time L T to GW De th Water Factor Gallons <br /> � <br /> After develo 1 ur in <br /> At time of sampling Three Casing Volumes _- o Gals <br /> Ten Casing Volumes Gals <br /> rWELL DEVELOPMENTIPURGING <br /> Equipment Swab-Aire Sub Pum Bader FaZndpiper = Other <br /> ethod Description <br /> l <br /> 1wecontamination Method <br /> Water Containnt ums baker lank other <br /> Labeie ti I q <br /> EE� Pum Vol Water m EC Observations <br /> i Time Rate Extracted FI umhos H calor,turbidityoils odor <br /> start <br /> D 2 <br /> poi <br /> GO r ! <br /> r <br /> Lab SAMPLE INFORMATION <br /> Sampling Containers/Number of Containers/Analysis Preservation Description <br /> ' 1 Liter Amber Ice and <br /> 40 ml Vo p+-E— Ice and <br /> Other Ice and <br /> ' Time <br /> � Device Disposable Bailer V Other <br /> rtlnent Field Observations <br /> 1 Deviations from Standard Sampling Protocol <br />
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