My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS XR0000865
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
C
>
CALIFORNIA
>
2315
>
3500 - Local Oversight Program
>
PR0544152
>
ARCHIVED REPORTS XR0000865
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/14/2019 7:52:54 PM
Creation date
2/14/2019 4:49:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000865
RECORD_ID
PR0544152
PE
3528
FACILITY_ID
FA0004062
FACILITY_NAME
VOGUE CLEANERS
STREET_NUMBER
2315
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12538016
CURRENT_STATUS
02
SITE_LOCATION
2315 N CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
002
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.
/
33
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
= - <br /> -- ANALYTICAL REQUEST I SAMPLE CHAIN OF CUSTODY-= R ins.TRA ���'.�� <br /> t -''L:ad� � r':�r�-r �T�4•��'R'�'wr'3F.z��mS 'w`.r'ti-` '- -_+ <r,_o-��4N ,r,,�:��`rd�«� : <br /> RECORD OF. r�,;t�. ic• �r'� �s r-. .DATE RECIEYEi1 <br /> }W��- 3 '� `. b f.{t4 - �nn�4xTK 4r ,. .✓ ,.,k -`S r 5y -. "F .�� r <br /> Z. <br /> ` LAB INVOICE <br /> Z <br /> ` DEL-TECH GEOTECHNICAL SUPPORT SERVICES j � - <br /> _ - Af D �` � ��-----------�-- �f <br /> 10624 OLIVE AVENM OAKDALF,CA 95361,_ # `` - �" = _ _ <br /> t <br /> OFFICE-( 9474757,_-,_, x �� W' �. w s e�F' �' - <br /> a .i5!S c �c _ .� 'r-+. sa. '3 r=s..l,-1. x�wTAC �Q <br /> f FAX -(209)847-7744 s� —a :xsi.� - .»�. ONTACT:— <br /> t"&LEMRNIA CONPRACTORS LICENSE#M-V3 6 CC�.ASS�" "ENGAVf�RING <br /> ynot_ f }.-uc - Jung I DICES PO #.. <br /> I I Il�il!Ili€€€} N II I III I I II I NII I I I IN I N I N II I if II I illl II d III IIIII N N II I 1111111 II II';ilfll fl Ni i ANALYsts REQUL�IED 4 SITE SAMPLING MAP`41 `y <br /> C�[I:N!':'�.�!'�"�� CONSUL'CANT� �� � 1►`rk yr -� � ��'�� <br /> - <br /> DRFSS. CffY: � ST'1�1 V%44 9 ,� p <br /> SAMPLER SIGNATURE=S Lt <br /> SHIPPED VIA• WAYBII.L «..ru.- x <br /> ANALYSISBY: sY J ' TURNAROUNDTIME1- Jt1z - DAY F W m <br /> !i I £ -SAAIPI$lDs �J ' OATS TIl18?" CAPTAIN-E�4RS r TYPE F MATRl[ x' ILII !IIlI fi€II fiht iE ilNil 1111111111111, REMARKSILAB.ID.'l `` - " - <br /> o =?4�E � ���. 3i '� �. � Y-x -`*t <br /> z, ,��E Y c�•,. .a . *"� �I� a -c�i -F.rw a 1' -s`� 9� r xf _ _ K'" ��►l�` �"kJ�-��{S\ <br /> c.. <br /> �'k � w ,#s ,u -�'- � } ' ` 'a *zi;`~ <br /> sRFg xi �W =A§+n s:� # 'r _ - �`3r,• wa? <br /> _ k <br /> „4 <br /> I 143a <br /> 1 ) �. - ter`--' "� t :.�•3r'a'� y. 3 a.a- <br /> IS) 16V10 — <br /> DAM <br /> � `ass�I:a'�I"s�-� er .Z- '- �'.. -�`c..�.. „� y.E•s"r,-_-'T`--ya• i' <br /> r A DATa 1 Tum V` ` " SAMPLE INTEGRITY/CONDYLION- <br /> i�RFISVgUiSigDbY RB[E[VFDRY } f� . �� Px °ri -_ c <br /> Orm'FURi11 ( I t �Y'�C✓ -'Fray ' ry'^�fr RECEILED COLD 1�INTACT'!YES NO <br /> RELRfQUtSFiFDb7 DATalma <br /> z Y RB<EIVIDbr - _ .; -� �.` AIR BUBBLES IN V OXS l YES -NO N- `. <br /> *- - * CUSTODY SEALS LNTAc i YES <br /> A DAM ITu+>B <br /> RtTarQuulffDBrv - RECEIVED BY PRESERVATIVES USED -1 YES NO <br /> 1 µ (SIDNATURE) =ERVATWUM,_ <br /> NOTE.PLEASE ARCHIVE THE SAMPLES SUBMLITED FOR THE PULL HOLDING TIME ALLOWED,UNLESS OTHER ARRANGEtiMNTS ARE MADE * (M T.B.E.,T.A M.E.,&T.BZ,D LP E.,TZ A) <br /> 4 B B =BAIL.ElftNKS COLLECTED IN THE FIELD - F B -FIELD BLANKS COLLECTED IN TI� - - <br /> PINK-FIELD COM WHITE&I ELLOW TO LAB WITH SAMPLES 1 ELLOW-RETURN TO CLIt+S+i I W STII RESULTS DEG O.0 FOR6t9b <br />
The URL can be used to link to this page
Your browser does not support the video tag.