My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0003175
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
H
>
HUTCHINS
>
305
>
3500 - Local Oversight Program
>
PR0545307
>
ARCHIVED REPORTS_XR0003175
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/11/2020 10:11:58 PM
Creation date
2/11/2020 9:07:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003175
RECORD_ID
PR0545307
PE
3528
FACILITY_ID
FA0000932
FACILITY_NAME
DOMINO'S #8588
STREET_NUMBER
305
Direction
S
STREET_NAME
HUTCHINS
STREET_TYPE
ST
City
LODI
Zip
95240
APN
03319020
CURRENT_STATUS
02
SITE_LOCATION
305 S HUTCHINS ST
P_LOCATION
02
P_DISTRICT
004
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.
/
87
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
m m m -m = = vm <br /> CHAIN OF CUSTODY RECORD <br /> HNVIIIONMENTAL CONSULTANTS lNcoRPORATE0 <br /> nm nwco oa+v�-turn,eo-�No eoRoovA,cALsoR�+u►gra <br /> rwo n!&R4I IS-PAX SIB 66"132 <br /> PROJECT NO PROTECT MANAGER Analysis Request TAT <br /> PROJECT NAME w E T 0a <br /> cc��ll z <br /> TOTAL(/1 0 <br /> Uj <br /> PROJECT LOCATION c < z 4e <br /> w <br /> 34S 5 t-�Lt -,gjVS LCOS r y y N � <br /> D u <br /> r <br /> a w ?- <br /> 04 LU LU <br /> LU z <br /> g Lu <br /> SAMPLES TAKEN `� }1 -3 <br /> NUMBER z a. a o z = " < < <br /> BY (Si natatim 6 -' $ $ a5 < a 3: w <br /> 5AJ`[PLE DATE COMP GRAB STATION LOCATION <br /> OF CON- c d U U b z z <br /> TAINERS �, m <br /> ID <br /> Z- <br /> r1 /O <br /> 6 -(WSJ` u <br /> �6—7 /al.t •� <br /> C-31e-8 II Z sr �/o I i <br /> i <br /> RIC <br /> //0 5 > <br /> r L <br /> Y-g 11 o0 <br /> (r�]-Z F'S < /°, r <br /> RELINQULSHE B lure) DATE TIME RECEIVED BY (Signature) RELINQ D BY t' lure)) DATE TDIIE Y (5i nature) <br /> 0��l1 <br /> "8 f qy/930 GE c C��► EFS r t� care r, - /y� f L ee <br /> RE UIS BY (Signaatre) DATE TIME RECEIVED BY (Signature) QUIS BY (Signature) DATE TIME CEIVE (Ssgnanue) <br /> QUISHE BY {Signature) DATE TIME RECEIVED FOR LABORATORY BY DATE TIME REMARKS <br /> (Sig acre) -, <br /> Ja.lwploblryplfo,ma�c (81931 <br />
The URL can be used to link to this page
Your browser does not support the video tag.