My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0003919
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
L
>
LODI
>
2500
>
3500 - Local Oversight Program
>
PR0545420
>
ARCHIVED REPORTS_XR0003919
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/5/2020 6:10:02 PM
Creation date
3/5/2020 4:53:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003919
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
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
48
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
WATER SAMPLE FIELD DATA SHEET Rev. "/9 <br /> PROJECT NO: 20A41-008.001 SAMPLE ID: tt1-71- <br /> -�- PURGED BY: jt,l'lvf CLIENT NAME: USA Station#65 <br /> 0 YYtA� I SAMPLED BY: JL LOCATION--.2500 West Lodi Ave,Lodi <br /> TSE: Gmundwater—f-- Surface Water Leachate Other <br /> CASING DIAMETER(inches): 23 4 4.5 6 Other <br /> CASING ELEVATION(feMMSL): VOLUME IN CASING(gal.): <br /> DEPTH OF WELL(feet): 3 CALCULATED PURGE(gal.): Z� <br /> DEPTH TO WATER(feet): ACTUAL PURGE VOL.(gal.): ("L^0 <br /> DATE PURGED: S 99 END PURGE: )� <br /> DATE SAMPLED: SAMPLING TIME: f�/ <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 FIR) (gaL) (wits) (}im4oak-M@25'c) ('D (visual) (viu-" <br /> �' 3''� r <br /> OTHER: ODOR: !1CKZC ' <br /> (COBALTa 1 (x>.v a-zoo) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1,XDUP-1) <br /> PURGING EOSAMPLING EMPMNT <br /> 2"Bladder Pump Mier(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pum{t Bailer(PVC) Bomb Sampler Bailer(Stainlew Stec) <br /> 4*fm-- Submersible Pump Bailer(Stainless Steep Dipper Submersible Pump <br /> Well Wirarda Dedicated Well WiratdO Dedicated <br /> Other. <br /> Other <br /> WELL INTEGRI'T'Y: — Lt� y,✓ �qu� 74. LOCK <br /> REMARKS: GJf-l ti) Lxa fta A-f bcr✓C <br /> pH.E.C..Temp.Meter Caldration: Date: Tune: ` �e1 Serial No.: <br /> P r_ <br /> E.C. 1,000 pH 7 pH 1,0 // pg q / <br /> Temperamm OF <br /> SIGNATURE --P--/, REVIEWED BY: PAGE OF �� <br />
The URL can be used to link to this page
Your browser does not support the video tag.