My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0012743
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
K
>
KETTLEMAN
>
601
>
3500 - Local Oversight Program
>
PR0545338
>
ARCHIVED REPORTS_XR0012743
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/9/2020 9:06:40 AM
Creation date
2/12/2020 8:31:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012743
RECORD_ID
PR0545338
PE
3528
FACILITY_ID
FA0003803
FACILITY_NAME
KETTLEMAN CHEVRON
STREET_NUMBER
601
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04728006
CURRENT_STATUS
02
SITE_LOCATION
601 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\wng
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
439
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
s 3, k'A 01Z s �-z' �t.a1"� ,cP&I <br /> g4mot, <br /> �w` - C •,�-' .X'T'- _ } sf" -*3 ,. �'; ,.�ti`£. -air d'k' 'a'I3 <br /> a� <br /> KAPREALIAN ENGINEERING, INC. <br /> KZP CHAIN OF CUST0pY r---�_� --- ---1 <br /> ARAOSES REOLCS(ED I TURN AR011ND TIKE: <br /> SIZE NA}IE >< ADDRESS I <br /> ISAKPLER Q1�'f <br /> I (fjt"Owt <br /> I n � Gr>• k I � I I I I <br /> (,o/ �'• /t..e t�/err#n I k I 1 I 1 1 <br /> It111NESSING AGENCY I I <br /> 1 1 I I I k i 1 I <br /> I I + I tiyi I 1 I I 1 9EAAIIK I <br /> I I k l IN�. I l <br /> k I I or 1 S#YPLING <br /> I SAKPLEfIIPkCDNT.I I I I k I I I LOCATION <br /> I ID K0. I DAIE I TIME I SOIL 11+ATERIG9ABIC <br /> 1 ✓k I I 5�l I f�� /f�f '57 I <br /> Ir I I ✓ k I I T/l � r, --1----�-� <br /> I�I I <br /> Al <br /> I i i I lyrl y l lr 1 � I�k k �� V <br /> 1/ 1 1 ✓I�I i I I I <br /> Q IV I <br /> !r I I �I k l✓I y 1 rr I I I <br /> r I V'1 / I I I I <br /> -{-- k <br /> I II I ✓f ✓ 1 k ! !I I ✓I I Ivl I il' I I V, <br /> NV, <br /> 1 The following KnT BE ccMieted by the laboratory accepting smp[es <br /> eture) I Date/Time I cl•l t�y+ature) I for analysis:IReliniiished by: (Slgnl r. J 11y I 1, 1— L�� 9. move all aarrQtee+�cclved for analysis been stared in lent I <br /> '� `/ 1 I <br /> Date/Time Witt sanplec remain re <br /> I R ivtd by: (Slynature) I <br /> 1Rrlinquished by: (Signature) I 12. in{yerated until arralY= <br /> 3. old any sartplts received for analysis have head spacer <br /> I Rrce!',�ed by: (Signature) I x:L <br /> (Relinquished by: (Signature) I Date/Time I <br /> 1appropriate cantainerc and properly packaged? <br /> I y I ' cedes In 1 <br /> (Signature) 1 Date/Time ( Received try: (Signature) I ��, �-�- L I <br /> •tlnqutshed by: (Sign I Tttle Date <br /> 1 � 5t8 ature � <br />
The URL can be used to link to this page
Your browser does not support the video tag.