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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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_ f <br /> A <br /> 1 <br /> Park <br /> Environmental fy. <br /> YV <br /> � <br /> Leaving A Clc���n Envirnnmon[ <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name« f <br /> Joh# S <br /> Date <br /> Sampling Team <br /> (Names/Responsibilities) <br /> Purpose of Sampling initial uartehy Verfication Other <br /> Weather Conditions <br /> GROUNDWATER LEVEUCASING VOLUME <br /> Depth Total Feet of Conversion Casing Volume <br /> Time TOC to GW Depth Water Factor Gallons <br /> Initial 91 S4,YI G4 . Ito 2 <br /> After develop/purgingLp Gals <br /> At time of Sam lin Three Casing Volumes <br /> Ten Casing Volumes Gals <br /> WELL DEVELOPMENTIPURGING <br /> Equipment Swab-Aire ub Pump 2u Bader (")Sandpiper Other <br /> Method Desenpbon 22 A--L ] <br /> Decontamination Method <br /> Water Containmen drums baker tank other <br /> Labeled <br /> Pump Vol Water 7Arnp EC Observations <br /> Time Rate ExtractedF/ (umhos) (color turbidR ods odor <br /> Start I a <br /> Q <br /> ILL lA _0I <br /> SAMPLE INFORMATION <br /> Lib <br /> Sampling Containers/Number of Containers/Analysis Preservation Description _ <br /> 1 Liter Amber Ice and <br /> 40 mi Voa I -k--) 4. Ice and Mt-L- <br /> Other - - - - - Ice and <br /> Time ��� <br /> Device Disposable Balser✓ Other <br /> Pertinent Field Observations <br /> Deviations from Standard Sampling Protocol <br />
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