My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
FIELD DOCUMENTS CASE 2
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
L
>
LATHROP
>
1250
>
2900 - Site Mitigation Program
>
PR0521881
>
FIELD DOCUMENTS CASE 2
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/5/2019 1:01:39 PM
Creation date
8/5/2019 10:49:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
FileName_PostFix
CASE 2
RECORD_ID
PR0521881
PE
2960
FACILITY_ID
FA0014865
FACILITY_NAME
CALIFORNIA NATURAL PRODUCTS
STREET_NUMBER
1250
Direction
E
STREET_NAME
LATHROP
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19804001
CURRENT_STATUS
01
SITE_LOCATION
1250 E LATHROP RD
QC Status
Approved
Scanner
SJGOV\wng
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
202
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
KLE/NFELOER V <br /> �i s <br /> RECEIVING LAB: <br /> PROJECT NO, PROJECT NAME <br /> NO. TYPE y G S <br /> L.P.N0. SAMPLERS:(Signature/Number) OF OF <br /> (PO.NO.) A \I INSTRUCTIONS/REMARKS <br /> a( CON- CDN- Q= <br /> — Stc.�dw�► r/A <br /> DATE SAMPLELD. TAINERS TAKERS <br /> TIME SAMPLE I.D. MATRIX <br /> MM/DD/YY HH-MM-SS <br /> 1 -11 �I _ } ter of X <br /> 2 (D I 2 X X x <br /> 3 m m IS m 2 X X X <br /> 4 <br /> w <br /> r,.�\ re <br /> 6 <br /> it �� <br /> 8 <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 16 <br /> 17 <br /> 10 <br /> 19 <br /> 20 <br /> Date7Time Received by.(Signature) Instructions/Remarks: Send Results To: <br /> Relinquished by:(Signature) ` - — <br /> o <br /> 220 Id PIeaS� r� ote cS�orT fkc�ld Kletn�e,\ er <br /> 11 ZOoI /?�G1,-A��PoeT 2 e1 <br /> Relinquished by: Si nature) - Date/Tme RecgUretl by. g <br /> na t <br /> `-CHIC_-li11, T <br /> ✓ Sor-K1O n , c r4 e�6 <br /> /AC�� �- /GL 4 9 -13 SS <br /> Relin�- etl by re) ate/Time R eiv tl for ISoretary by:(Signature) � / '�I� w✓ A11n:LL C <br /> ��`/ L oe LLE <br /> ENV-02 RE 5/08) White-Sampler Canary-Return Copy To Shipper Pink-Lab Copy coo No 21322 <br /> CHAIN OF CUSTODY <br />
The URL can be used to link to this page
Your browser does not support the video tag.