My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS XR0000289
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
B
>
B
>
1604
>
3500 - Local Oversight Program
>
PR0543431
>
ARCHIVED REPORTS XR0000289
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/5/2019 2:16:46 PM
Creation date
2/5/2019 1:47:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000289
RECORD_ID
PR0543431
PE
3528
FACILITY_ID
FA0003683
FACILITY_NAME
Caltrans-Stockton
STREET_NUMBER
1604
Direction
S
STREET_NAME
B
STREET_TYPE
St
City
Stockton
Zip
95206
APN
171-090-08
CURRENT_STATUS
02
SITE_LOCATION
1604 S B St
P_LOCATION
01
P_DISTRICT
001
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.
/
63
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
me vM95rheRTa1`CaMrc-Mr , Imc'w't i3 i MVMC"'�`. , YM <br /> 141 Suburban d,Suite C-5,San Luis Obispo,CA 93401 phone(805)545-9838 x(805)545-0107 `r ORDER # F 3 <br /> Client Name Contactf j Phone Due Date <br /> �„!o� 5-c A g e 7 Y <br /> Address City State Zip Fax Normal T A T Other <br /> 24 hour 48 hour 72 hour <br /> Project Name I Number / P O # Cell 1 Beeper Copies To <br /> Bill to (if different from above) —1 b Address City State Zip <br /> Sampler Name(Print) , r �� Comments Matrix Key DW=Drinking Water <br /> 5 . N a e n AQ=Aqueous SL=Soil/Solid <br /> Date I Time #of Creek <br /> Sample Description Sampled n 1 Analysis J Matrix Bottles Preservative I Bottle Type Lab Sample# <br /> (/765) 2-13--a2 Ayor►7allt , f���n���ATecl cia 7 �5 �aI �Q 3 � V�f�CSI- <br /> } 4: 30 Z021 Q <br /> RELIN UISHED BY Date I Time REC IVED DaQ Time <br /> Print Organization Z Q Z Pri <br /> C'ree— <br /> (700 <br /> Creek Environment I <br /> Laboratories Inc <br /> FOR LAB USE ONLY Shtp2mg Method Client / Lab / Courier Sample Conditions Intact Y / N Cold Y / N Custody Sealed Y 1 N <br /> REMARKS <br />
The URL can be used to link to this page
Your browser does not support the video tag.