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ARCHIVED REPORTS_XR0003923
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LODI
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3500 - Local Oversight Program
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PR0545420
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ARCHIVED REPORTS_XR0003923
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Entry Properties
Last modified
3/5/2020 5:52:05 PM
Creation date
3/5/2020 4:55:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003923
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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_ENGINEERING, INC. <br /> RCE#27011 Lia.#537901 <br /> 8084 Old Auburn Rd.,Suite E, Citrus Heights,CA 55610 <br /> WELL DEVELOPMENT/SAMPLING DOCUMENTATION FORM <br /> Project Name SA•Lc�O{ Job# (�OSq Well # 4�- <br /> Date Sample ID <br /> Sampling Team - <br /> Purpose of Sampling- Initial IWOuarterly ❑ Verification ❑ Other; - <br /> Weather Conditions <br /> GROUNDWATER LEVEL/CASING VOLUME <br /> Depth Conversion Casing <br /> Total�De th_ Feet of Water Factor Volume <br /> Description —Time—��OC;to;G �_ p (ft to' afs allons) <br /> . Initial <br /> After Development/ <br /> Purging 12 r t2 Three Casing Volumes ly�� Gals <br /> At Time of C'Z Lt <br /> Sampling 3� r42 Ten Casing Voiumes Gals <br /> WELL DEVELOPMENT/PURGING <br /> Equipment: Submersible Pump ❑ Bailer ❑ Sandpiper CJ Other: <br /> Method: 2` C. <br /> Descdption <br /> Decontamination Method: . <br /> Description <br /> Water Containment: Drums ❑ Baker Tank ❑ Treatment System Other: <br /> Labeled: <br /> Start Time Volume Water Tempe re -- z pH Observations <br /> Extracted 'F) I�(umhos) II--p (Color,Turbitity,Oils,Odor) . <br /> - <br /> �2a GSI <br /> t 20Q L 6,46 . <br /> SAMPLE INFORMATION <br /> Lab: a0z CX2'P4 <br /> Sampling Containers/No.of Containers Preservation <br /> _-j,1..UterAmbeeP-,-1 - — - - -- i]-Ice - -[-Other - = <br /> 40 ml VOA -} Nplce Other <br /> i Other_ ❑ Ice J Other _ <br /> Device: Bailer,Disposable =! Other <br /> Pertinent Field Observations: <br /> Ceviations From Standard Sampling Protocol: <br />
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