My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0011316
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
F
>
FREMONT
>
1401
>
3500 - Local Oversight Program
>
PR0545145
>
ARCHIVED REPORTS_XR0011316
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/9/2020 11:26:45 AM
Creation date
1/9/2020 11:14:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011316
RECORD_ID
PR0545145
PE
3528
FACILITY_ID
FA0003820
FACILITY_NAME
VALLEY WHOLESALE DRUG
STREET_NUMBER
1401
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13525031
CURRENT_STATUS
02
SITE_LOCATION
1401 W FREMONT ST
P_LOCATION
01
P_DISTRICT
001
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.
/
38
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
ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY LAB.TRACKING <br /> RECOPM OF DATE RECIEVED: -------- <br /> AfDEL-TECH GEOTECHNICAL SUPPORT SERVICES LAB.INVOICE TO: I P— L -------Vic^-`= j -� h <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 --J. _P_ :r-1=" 1= ---�'ki�-�.r-`a`t <br /> OFFICE-(209)847-5757 <br /> FAX -(109)'847.7744 � pH-# ( }..--. ONTAC'1's. - <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING <br /> JOB# -- I OICE#— -P.O.# <br /> L <br /> I:I:1 rlll 11 I,IIFII rl 'ilillll Ilii!„"i;l. I .�, I I III, 11 1' I I' lid I: 1 I I fill 11 I's;7 .? . . <br /> 111111 IIIIIII;Ii l,:;ll?1111!!ill??Illlff I'I 161:1; •t I:iI.3 I. Ir I, ,;I? !I I ,f I;`l I I II I f II lIII III k I. , II!i•II!I.lif'„ ,I Ilr I I I III lIII i it a{,it ' .ANALY5L4 RYQLfFST® F SAMPLING MAP.;"``='— <br /> 1111_:..I 11,L�L .Il.rl ?I:rIr.IL.L,IL,fIIIJILI IL IuII,I�IIIIIII,I.1111E IId1l, ?f_ #III 1,11 III,:IIIIIIlIr11,_,r t r. ,.111 t f.ltl_16�I ill 1,I,L IILII1.1.111111r�,.r VIII �sIr - <br /> ' ` CLW24T: CO TANT: a cc <br /> SIR NAME �. Y W <br /> ADDRESS: b W, v CITY: ST.: <br /> C <br /> SAMPLER SIGNATURE: tLT a H <br /> SFIIPPED VIA: 10EL WAYBILLAmp <br /> ANALYSIS BY: TURNAROUND TIME: ` DAY(S) <br /> llij!I SAMPLE LD.1 DATE TINS CONTAINERS TYPE MATRIX 111111! il;l'lll ''Illllll: 111111111illllll !!111111 Ifllllll Illillll. ii?III!: REMARKS/LAB.I.D. <br /> ) — 6 ) a - <br /> 3) 1 <br /> 415 <br /> - _D <br /> 7.) <br /> 9-? <br /> 12.) <br /> E 3.) <br /> 14.) <br /> sam+ausl®B5; b RPCFJVEDBY: , ox SAMPLE INTEGRITY CONDITION <br /> + cSK1NAWRF) "t ` . _ r: / RFCF,IV[]]COLD&INTACT ! YES r NO r 1 <br /> )A DA !7➢HF. 01 <br /> Rrx.B c�ns1 sY: REMVED BY: L <br /> IN V.O.A.'S / YP.S NO ( 1.INB(S)k- <br /> + (SIGNATURE) ALS INTACT I YES (,K) NO ( t N/A ( j <br /> A DATEITWE <br /> REL NQUISI®BY: RE(�IYFp B1': ES USED / YES NO f <br /> / (SIONATIJ u I ERVATWE(-S)� <br /> NOTE.: PLEASE ARCHIVE;THF.SAMPLES SUBMrrrED FOR TALI PIM.IIOI.DINGTIME ALLOWED,UNLESS OTHER ARRANGEMENTS ARC:MADE * (M.T.B.E.,T.A.M.E.,E.T.B.E-,D.I.P.E.,T.B.A.) <br /> B.B.=BAII,I-R BLANKS COLLF_CII-D IN TILL'•RFLf}. F.B.=1-1E1_D BLANKS COLLEi(7FL'.I)IN TIII:1:I1:LD. <br /> PINK,FIELD('011' WHITE;A 1'F_L3,4)W-T(i IA B.WITH SAMI•LF_ti VF:1 1,0W-REE'URN TU CLIENT WITH RFSULTS DEI:TECH C.O.C.FOR31 98 <br />
The URL can be used to link to this page
Your browser does not support the video tag.