My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0002411
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
G
>
GRANT LINE
>
455
>
3500 - Local Oversight Program
>
PR0545202
>
ARCHIVED REPORTS_XR0002411
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/27/2020 11:23:28 AM
Creation date
1/27/2020 10:26:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002411
RECORD_ID
PR0545202
PE
3528
FACILITY_ID
FA0003124
FACILITY_NAME
7-ELEVEN INC. STORE #20304
STREET_NUMBER
455
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
455 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
35
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
Mh Ah <br /> MW 4080 PIKE LANE, SUITE C HAIN OF CUSTODYRECORD 19 8 6 <br /> 1GTEL CONCORD, CA 94520 AND ANALYSIS REQUEST <br /> (510)685-7852 <br /> " :C (800) 423-7143 + + f 1 <br /> Company Name Phone# <br /> (916) 372-4700 13 <br /> Fitior Daniel GTI FAX# ❑ r e <br /> Company Address 1401 Halyard Dr. Site Location m @ ❑ 0 o 0 <br /> Ste. 140, IV. Sacramento, CA 95691 S'SN1 '�'��"� n ❑ D +M ❑ <br /> Project Manager Client Project ID (#) <br /> Store # o o m m m m z o ~ b <br /> N LL ❑ ❑ C4 ❑ ❑ z z ❑ > ❑ 11 <br /> attest that the proper held sampling Sampler Name( rint a SQ) m ❑ a ❑ 1, T m v o ❑ <br /> procedures were used during the �,,n w g " �, , N ❑ ❑ ❑ <br /> collection of these samples �qRLr" `=' ❑ o a `„ � � � ❑ <br /> o a G N v � a a L ❑ n a <br /> Method 8 3 m U) m a � 'M m m ❑ ❑ > a � g N <br /> Matrix Sampling o �`n 0 E r ❑ m w a a w ❑ ❑ M ❑ d k N ❑ w <br /> Field GTEL w Preserved = c c R r p ❑ w w m a a m m y A ❑ m ❑ <br /> �y z m m m Y ❑ ❑ © Q p. ❑ g '? ro m c" �. <br /> Sample Lab# w ¢ m to C7 m >, O O pN N N x 01 N " H <br /> C7 v o c a in +n i0 w to m O a a O <br /> ![) (Lab Use l zo o $ "' S O "' w ni ui m a a a a a a a a <br /> 1 1! ~ <br /> only v a p Q a tr u z `� v x W a r a" T — a o a a a a a a a a U a a m o <br /> U) <br /> a in a O r x x" aH O_ v ►= m m x S o } w w w w w w w w w F w v O v <br /> �.1'r `u� ` l9+s t' a 1 9 53. * Ott'( t11 � sus• err+ i� 454 "'�I! ',F ��, �, <br /> hAW1O <br /> /0-45 <br /> � 14 N 1111414 All <br /> � <br /> ` = y 0 R } It N 41 01 ri �°, R , lits' V W, MA <br /> awe — oO;73 <br /> ' ^~ 'i y r �i�����h +!' vQ � Y'i r 1'tF 7!: '[°'l rr t7 �'L `5y� ��'R=i'i�j ..SAF, 'R►&7 '� '�,}t+' � ii�i >W � ��a �` ��1 t�= t <br /> -gig 0 <br /> v` <br /> �rr�'+-{Kt+-� �° �h p� 1C1� � �_� t='( t#} �: ir�r �'1 ,� r= •t, } � n i� tf + fc� � k ;�"s, ,�! 1�t �+ r� �{� <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> Pnonty(24 hr) ❑ GTEL Contact <br /> Expedited(48 hr) ❑ Ouote/contract <br /> 7 Business Days -❑ Confirmation# <br /> Oiher SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage Location <br /> BusinessDays ❑ P O # <br /> ,f QA/QC Level <br /> slug(3 CLP❑ Other❑ FAX❑ Work Order# <br /> Relinquished r = Date Tim Re +ved by <br /> v� � - <br /> CUSTODY Dale Time Re e+ved by <br /> RECORD Re/I u+shed by <br /> Relinquished by Date Time Received by Laboratory <br /> Waybill If <br /> t <br /> I - ` <br />
The URL can be used to link to this page
Your browser does not support the video tag.