My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS XR0006258
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
Y
>
YOSEMITE
>
1048
>
3500 - Local Oversight Program
>
PR0544939
>
ARCHIVED REPORTS XR0006258
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/18/2019 9:17:27 AM
Creation date
10/18/2019 9:09:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006258
RECORD_ID
PR0544939
PE
3528
FACILITY_ID
FA0000508
FACILITY_NAME
7-ELEVEN INC #17647
STREET_NUMBER
1048
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
21903003
CURRENT_STATUS
02
SITE_LOCATION
1048 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\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.
/
41
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
I• m Emcc5ft Lid =- Effl,%Gm. M m r• r• O� f ML <br /> _-- <br /> L7 <br /> ° CHAIN OF CUSTODY CORD <br /> T�CBSTOMER INFOAMATION-'—- �' - = PROJECT 1N0t�0MATION 0,: <br /> - COMPANYPROJECT NAMEINUMBER <br /> L <br /> SEND REPORT TO BILLING INFORMATION LU y `1 <br /> ADDRESS- BILL TO <br /> 7-,r7 / rn#t d 1)r 5L" le- D <br /> S IT- G eO'A+,"014 o ale <br /> -- KA4IY1t2 C t1 1756 3 ADDRESS 7 S-7 Arita I d Ar S�r� 0 � { LAB JOB NO. <br /> - q CQ 9YS53 <br /> PHONE PHONE (IZS-) 3-7o —3110 2 <br /> FAX FAX PO NO Z �a 0 <br /> (12s)37o-3?91 ? g t ? 21 <br /> -- „SLFNO_ - _ _ SAA�LE DESCRIPTIION _ SA <br /> _ TIME <br /> < �x OONTA)N64 PREsERv ' <br /> IW r �je REMARKS t PREC41JfION <br /> -1 <br /> tK t ✓ <br /> C=P-s` rs� b pb-r$ lY�t I Z-pSe 56(L r�"��`` 1 ✓ <br /> VOA At <br /> vor <br /> Lva�r ✓Say <br /> (5P-3 -f S t l: O ria kr Vv a,. G ✓ - <br /> VOA <br /> G GP- 6- till 13 0c) e- vVE tlr,4f�C <br /> cc SAMPLERDd -'jS SHIPMENT METHOD AIRBILL NO <br /> REQUIRED TURNAROUND* F-1 SAME DAY ❑ 24 HOURS L'48 HOURS ❑ 72 HOURS ❑5 DAYS ❑ 10 DAYS ROUTINE OTHER <br /> w 1.RELINIMSHED BY 'x w DATE 2 RWNOUISNED 6Y - DATE 3 REL€NOU€SHED BY DATE <br /> 51GN AE p SIGNATURE SIGNATURE <br /> � I <br /> PRN NAMEICOMPAN_ ! TIME` PRINTED NAMElCO PANY TIME PRINTED NAME/COMPANY TIME <br /> ¢ `"�� Jh 1 l r �r 1`� Lir <br /> - - -z l RECEIVED BY 7 WE 2 RECEIVED BY w DATE 3 RECEIVED BY DATE <br /> SIGNATUR 6/ SIGNAT SIGNATURE <br /> PRINT N CQMPAN ` TI PRINTED NAM OMPA Q^ _ TiJwf� @� PRINTED NAME/COMPANY TIME <br /> Tt + 4+C +v✓[] [ <br /> -_ _ o Ai,.h.lm.CA ❑ Aur..COEr Camorti rA o'a.o«wy ❑ Corpus Christ TX n EdIWN NJ <br /> --- 1250 E.Ga AWry Way - 10703 E 8elh—Ir C"ft - 21730 S VVkn[Vm AveSuite <br /> e 201 42D W Frac Sheet Carer Par" <br /> N Padre Island Drive 284 Raritan CaParkway <br /> _ � an <br /> Aoahelm CA 92805 - AWWS,0080014_ Carson CANSIO-1640 z _ Casper WY828Dl Gorpua Clvlsil TX 78408 Edison NJ D5W7 <br /> -- (714)937_1094 Fax(714)937 1170 (301)751 1780 Fox(3C3)751 1784 (310)513 2035 Fax(310)513 2035 _ (3D7)235.5741 Fax(307)266 1876 v J5121289-2673 Fax(512)2842471 (732)2255700 Fax{732)2258777 <br /> —O Housim Tx(Env) ❑ Nwnnn n((vaq r ❑ Indl■n.po9:9v - - -` ❑ Lake Charles LA - ❑v 1penlee IN <br /> 6310 Rothwey Orrve _ 8210 VAN"y R 77 <br /> oad _ 28 MONK Road - 3845 0"%Parkway r 2400 ComberWA Drive_Houston TX 77040 _ Noualm TX 77075 - ' - Indlanepolls IN 48268 +r LA 70683 Va0are66 IN 49393 <br /> -(713)6904444 Fax(713)690 5846 {713)843-8776 Fax(713)943-3846 (317)6755994 Fax(317)872-6789 (318)5834828 Fax(318)5834929 52191 464-2389 Fax(219)482 211W <br />
The URL can be used to link to this page
Your browser does not support the video tag.