My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0013017
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MAIN
>
470
>
3500 - Local Oversight Program
>
PR0545485
>
ARCHIVED REPORTS_XR0013017
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/11/2020 1:02:11 AM
Creation date
3/10/2020 11:45:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0013017
RECORD_ID
PR0545485
PE
3528
FACILITY_ID
FA0003604
FACILITY_NAME
BEACON STATION #3492*
STREET_NUMBER
470
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
22307101
CURRENT_STATUS
02
SITE_LOCATION
470 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
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.
/
55
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
I' <br /> CHFAIN OCUSTODY..RERTPOs <br /> BEACON <br /> II tLubwnw <br /> . <br /> LIJ <br /> Beacon Station No" Sampler.,(PnnfName)! �, -, _ '' ' Date ,-I Form No - '• <br /> AfVALYSES I i o �y of ± <br /> v <br /> L- 'I'rofect No. + Sampler(Si' halure)..' - - - <br /> hou'r Tu fa � TPNH <br /> ' �nardu�d , <br /> Affiliation <br /> Protect Location. <br /> s U Q' I P <br /> r74v1�eC� T�GSN�4NasT�7iE� cis <br /> i ` U �c�cc[� 7"/ Fe,ri,T <br /> x o E'D'Li; Toil'/eq a <br /> : + wa = q , <br /> o o <br /> Sam le'No./Identification .. Date Time .' Lab No. �- �` z. REMARKS,'.:.; <br /> I la lot <br /> 3 <br /> ,t <br /> -10 <br /> 3�r4"1 <br /> ; Z <br /> � r• <br /> If: <br /> a. <br /> II � <br /> ' : l / '' k; <br /> 3 <br /> V <br /> Rel uis ed by: (Signature/Affiliation) Date Time R eiv n r A ion Date Time'. <br /> „ i n , w< <br /> Relinquishedby:'(Signature/Altiliation) Date Time ec iv' d by.'(SignatureA ffiliation :;Date Time'. , <br /> Relinquished by::(Signature/Affiliation) Date Time Received:by:`(Signature/Affiliation) ''Date Time , <br /> Report To: ra f'8'f2- 690. ULTRAMAR,IN ; Z 83 "32.8 <br /> ;f <br /> .8 <br /> ,,pill to: <br /> a <br /> C ' <br /> �-,��; o;u J+s . . i. 525:-West Third Street. . . .�� ;0 9 <br /> ..'' L4 e,,»2.00 Hanford CA 93230,, <br /> (zap coo Co. o.J a) CA Attention: ffen'rlefih. �a me r .. i. <br /> th <br /> WHITE' R�e#urn to Client wi Report YELLOW:'Lahoratoey,Copy PINK:OriginatorL py' '2°0031 0' I <br />
The URL can be used to link to this page
Your browser does not support the video tag.