My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0002000
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
H
>
HAMMER
>
1469
>
2900 - Site Mitigation Program
>
PR0505509
>
ARCHIVED REPORTS_XR0002000
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/29/2020 12:35:40 PM
Creation date
1/29/2020 11:38:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002000
RECORD_ID
PR0505509
PE
2950
FACILITY_ID
FA0006824
FACILITY_NAME
BP STATION #11191
STREET_NUMBER
1469
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
08818030
CURRENT_STATUS
02
SITE_LOCATION
1469 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
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.
/
168
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
SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG <br /> CLIENT NAME pG WORKORDER r �V�-�4 <br /> REC BY (PRINT) I.k4-6 DATE OF LOG-IN <br /> CIRCLE THE APPROPRIATE RESPONSE LAB <br /> SAMPLE DASH CONTAINER SAMPLE DATE REMARKS <br /> 1 Custody Seal(s) Present 1 Abse # # CLIENT IDENTIFICATION DESCRIPTION MATRIX SAMP CONDITION (ETC) <br /> Intact 1 B ken" — 2l3}4 <br /> PD -1 D -1 � Sort o x <br /> 2 Custody Seal # Put in Remarks - 2 <br /> Section <br /> - 3 <br /> 3 Chain-of-Custody Prese 1 Absent" <br /> 4 Traffic Reports or <br /> Packing List Present Abs <br /> 5 Airbill Airbill / Sl S <br /> Present Absent OPD <br /> 6 Alrbill # Pp_ <br /> 7 Sample Tags reser Absenl _Z <br /> Sample Tags#s is e 1 Not Listed <br /> ialn-of-Custody <br /> 8 Sample Condition / Broken" / _5 <br /> Ing" <br /> 9 Does Information on <br /> custody reports, traffic <br /> reports and sample <br /> tags agree? Yes No' <br /> 10 Proper Preservatives + <br /> used Ye 1 No" t <br /> 11 Date Rec at Lab /1-7 <br /> 12 Time Rec at Lab + D-C <br /> 13 Temp Rec at Lab 5`G <br /> "rf CirclAWontact Project Manager and altach record of resolution <br /> � �,.,...,�> � ri■� r■■ia � �� � tIs r�� � �r ri_ rr� � Pae of <br />
The URL can be used to link to this page
Your browser does not support the video tag.