My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS XR0004086
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
K
>
KETTLEMAN
>
2449
>
3500 - Local Oversight Program
>
PR0543823
>
ARCHIVED REPORTS XR0004086
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/22/2018 12:43:57 PM
Creation date
10/22/2018 10:49:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS XR0004086
FileName_PostFix
XR0004086
RECORD_ID
PR0543823
PE
3528
FACILITY_ID
FA0003760
FACILITY_NAME
SUNWEST LIQUORS
STREET_NUMBER
2449
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
APN
02741005
CURRENT_STATUS
02
SITE_LOCATION
2449 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
16
PDF
View images
View plain text
r <br /> DY-- LAB.TRACKING #: :fl' --------- 1 <br /> Ad— <br /> ANALYTICAL REQUEST/SA <br /> MP CHA <br /> IN OF GUSTO <br /> RECORD OF � ��D1A�rTv� EIl RELIEVED: ----•---/---------------•-••---•- <br /> LAB.INVOICETO: � u� ..L.L ":'.1� �, 1, ----------------- <br /> ------ --•- --••• <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES <br /> 10624 OLIVE AVENUE,OAIO?ALE,CA.45361 •'--33-•-�•pQ---LL-��•-----�•7 ---- LOA.) <br /> •(209)-47"757 )rilirry ID Z I CONTACT: <br /> FAX -(209)847.7744 <br /> PH.# �-... ---------... ...------------------_------------------ <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING OB# ---------------------INVOICE#------------•-- ------•----P.O.# ---------------•------••-•------•------ <br /> LAB.ANALYSIS REQUESTED SITE SAMPLING MAP <br /> CLIENT M L L CONSULTANT: U'D LL <br /> SITE NAME: PROJECT: 1 W r� X� <br /> o w <br /> ADDRESS. CITY: DL? ST.: IWO <br /> n aQo `4 <br /> SAMPLER SIGNATURE: <br /> a ^ p t! � N O '�• T <br /> sIIIPPi�vu: Z., WAYBILL °° <br /> per, pxp,, ��vv e e � e e <br /> ANALYSIS BY: I TURNAROUIvDTIME: DAYS [-� F F W W 00 W W <br /> SAMPLE I-D.N DATE TIME CONTAINERS TYPE MATRIX <br /> REMARKS/LAB.I.D. <br /> 1.) o Z.n �n � a �� <br /> HH <br /> 2.) — wf 17, <br /> N <br /> 3) <br /> - Z Z <br /> 4.) - 71 <br /> - 3 ,� <br /> Bmnje- <br /> E.) C It.I <br /> 7.) <br /> e.) <br /> 9.) <br /> 10.) <br /> 1!J , <br /> 12.) <br /> l3.} <br /> 14.) <br /> 1 S-) <br /> "hr RECEIVED By: � \��� � SAMPLE INTEGRITY/CONDITION <br /> A�wv�(s(�Dat-: "� <br /> ! (SIGNATURE) RECEIVED COLD&INTACT I YES } NO <br /> DATE i TDAE <br /> REi.s[Qu[sREn Bt': <br /> 1 # AECEWO)BY AlR BUBBLES 1N Y.O.A.'S !YES NO f LME(S)#- <br /> r (SIGNATURE) CUSTODY SEALS INTACT' I YES ( I NO( j NfA <br /> A ! DA3£lTAIE <br /> UTAECEMM at': PRESERVATIVES USED / YES NO <br /> AE4aIQUISF�D BY: ' <br /> (SIGNATURE) O V S <br /> NOTE: PLEASE ARCHIVE THE SAMPLES SUBMMTTED FOR THE FULL HOLDING TIME ALLOWED,UNLESS OTHER ARRANGEMENTS ARE MADE. * (M.T.B.E.,T.A.M.E.,E.T.B.E.,D.I.P.E..T.B.A.) <br /> B.B.=BAILER BLANKS C(H-L.ECMD IN TF6:FIELD. F.B.=ESLD BLANKS COLLECTED IN THE FM-LD. DFL-TECH C.O.C.FORkl 98 <br /> PINK-FIELD COPY WHITE R YELLOW-TO LAB.W ITH SAMPLES YELLOW-Ilf-TURN TO CLIENT W ITH RFSULTS <br />
The URL can be used to link to this page
Your browser does not support the video tag.
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).