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
n <br /> s -� E <br /> h <br /> KAPREALIAN ENGINEERING, INC. <br /> CHAIN OF CUSTODY <br /> iSAKPI.fRy I SITE MARE d QU <br /> ADDRESS I AAALVSE5 REESTED J tun ARUND T10f: I <br /> /v"y _ I <br /> I !G�/yDCi1G- Goolr' ��o/S� <br /> IwITNESSING AGENCY <br /> I i I I I I I k0. ( <br /> I SAMPLE I I I I Of SAMPLING 8 f 0(A It G 5 <br /> I 1D MD. I DATE I TIME I SOIL IuAIERI CRABI CaVI CUNT.I LOCATIDN <br /> /,1,W 7- -I(1 yi ZZZ'I ! I c/i I S f <br /> I I I I I I I I I ! I I I I I I I <br /> I I I ! ! I ! I 1 I I I ! [ I I I <br /> I I I I I l I I I ! I I I 1 I I I <br /> JReI€rgsished by: {Signature) WDq c/liR wed by: (5 ture} The following "I BE co pleted by the laboratory accepting sarsles( l5,_.,� Ltne?� for analysis: <br /> !—/ 1. Have al{ seaplea received for analysis begirt stored in ice? I <br /> JReli"Ished by; (Signature) I Date/Time I et:oived b/: (Signature) <br /> wi11 seeples remain refrigerated until analyzed? ! <br /> IRelirq,nished W. (Signature) I Date/Time J Received by: (Signature) 13. Did any saeples receiv-d for analysis have head space? i <br /> J 14, were ao:ples in-appropriate containers and properly packaged7 J <br /> 'aelirgrished tri. (Signature) I Date/Time I Received by: (Signature) /n I <br /> _ I <br /> ! ! S'pnature Title Date I <br /> � t <br /> I <br />
The URL can be used to link to this page
Your browser does not support the video tag.