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ARCHIVED REPORTS_XR0003907
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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_XR0003907
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Entry Properties
Last modified
3/5/2020 5:35:34 PM
Creation date
3/5/2020 4:49:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003907
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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1A <br /> - <br /> 1 <br /> Park <br /> Environneentayy <br /> l `h <br /> � <br /> Leaving A Clean Cnvv)rnmcnt <br /> WELL DEVELOPMENTISAMPLING DOCUMENTATION FORM <br /> Project Name -- <br /> Job# <br /> Date a <br /> Sam linTeam vb <br /> (Names/Responsibilities) <br /> Purpose of Sampling Initial Fer)fy Verfacataon T Other <br /> Weather Conditions <br /> GROUNDWATER LEVELlCASING VOLUME <br /> Depth Total Feet of Conversion Casisz Vniume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial ,l <br /> Atter develo i ur an <br /> At time of sampling Three Casing Volumes Gals <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING <br /> Equipment Swab-AareG�,, <br /> Bailer andpiper Other <br /> Method Description 2ED ru <br /> Decontamination Method <br /> Water Containment 5 r, ums� Asst baker tank other <br /> Labeled l.� <br /> Pump Vol Water T m p EC Observations <br /> Time Rate Extracted F umhos H color turbidity oils odor <br /> Start Q <br /> (OSLO PLI <br /> I.l <br /> `J �J <br /> i <br /> SAMPLE INFORMATION <br /> Lab _ <br /> Sampling Containers/Number of ContamerslAnalysis Preservation Description <br /> 1 Liter Amber Ice and <br /> 40 ml Voa IF ( r1- -T ( , 'yC ice and �-1— <br /> Other Ice and <br /> Time 11n <br /> Device Disposable Bailer V f Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />
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