My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
FIELD DOCUMENTS_CASE 1
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MAIN
>
1405
>
3500 - Local Oversight Program
>
PR0545492
>
FIELD DOCUMENTS_CASE 1
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/13/2020 11:57:10 AM
Creation date
3/13/2020 11:10:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
CASE 1
RECORD_ID
PR0545492
PE
3528
FACILITY_ID
FA0000309
FACILITY_NAME
MCHENRY STATION & MINI MART
STREET_NUMBER
1405
STREET_NAME
MAIN
STREET_TYPE
ST
City
ESCALON
Zip
95320
CURRENT_STATUS
02
SITE_LOCATION
1405 MAIN ST
P_LOCATION
06
P_DISTRICT
005
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.
/
153
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
E [ [ [ [ [ [ E [ E [ [ f C L <br /> \UJ-Fi I ra� i v <br /> y <br /> EA PRO <br /> T T Y T <br /> ENVIRONMENTAL CONSULTANTS <br /> CHAIN OF CUSTODY RECORD <br /> PROJECT NAME: <br /> / to <br /> Number of yy a , <br /> ER (signature) : ,Y� ti� <br /> -( n Containers/ <br /> Type of <br /> Date Time Sample Location Sample <br /> Lab I.D. <br /> L 9,15 -1�20��y-�' <br /> (0: /-o 2W 1.7— y- S. S <br /> /o- S <br /> I'3- • gyp/ -nZcx r-y 9— l5, S <br /> Zo <br /> IZ'3a poi -oZo2��- �0- �,3 �C41 <br /> ^ -- 0 �D <br /> :�Y7 12',G <br /> linquishd by: Date / Time Received by: Relinquished by: Date / Time Received b <br /> or <br /> Z1z-s9 <br /> Company: L:'rs 77'30 PM Com an : Com an O Com an <br /> Relinquished by: Date / Time Received by: Relinquished by: Date / Time Received by: <br /> Company:? Company: Company: Company: 3 <br /> Relinquished by. Date Time Received by: Relinquished by: Date Time Received by : <br /> Company: Company Company: <br /> Company: <br /> NOTE: In preparing legal documents always use ink and signatures <br /> P.O. 9OX 2242 (409) 384-1041 MERCED, CA 95340 <br />
The URL can be used to link to this page
Your browser does not support the video tag.