My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
FIELD DOCUMENTS
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MIKESELL
>
660
>
3500 - Local Oversight Program
>
PR0545549
>
FIELD DOCUMENTS
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/16/2020 8:50:04 PM
Creation date
3/16/2020 4:36:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545549
PE
3528
FACILITY_ID
FA0007998
FACILITY_NAME
MUSD-GROUNDS SHOP
STREET_NUMBER
660
STREET_NAME
MIKESELL
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
02
SITE_LOCATION
660 MIKESELL 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.
/
81
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
GeoAnalytical Laboratories, Inc. Lab Report# <br /> Regulatory Yes 13 No CC: 13Yes J3No <br /> 1405 Kansas Avenue Phone: (209)572-0900 <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: .►.�Cx_�,rc�,y �' J <br /> 11 y / I I Phone: (7,e` ) <br /> Client: �r(,c�. hL�Cf d.+&z � CHAIN OF CUSTODY Fax: (;Zd-q <br /> Address: C/Z?Ci G1 15'A *DF 13 EDT Original To: <br /> City Zip 9352 0 FIELD LOGS C.0 To: <br /> ! !4 Lab Use Only <br /> Project ID N(.3�4r- L� � L �il� �' �'7' �s L Gj 'L�` <br /> (Print Name) Gj~ <br /> Sampled By k's )�td L,r-j4-K Z <br /> a y x <br /> (Signature) ,e Container v �Q' <br /> O <br /> Lab ID <br /> Sample type <br /> # <br /> Date Time Sample ID Type Size z Remar <br /> Co <br /> Grab mp �1alri. <br /> ' v <br /> _30" z� i r ✓ �—V <br /> 012 <br /> -2 - � � � z <br /> 1r '� <br /> Remarks <br /> /�,Gl�� i/ j�}!'I ©� ��l K/`��-=� �.hC �h `i.rt c.l (.�.1�1'h �L� �G 5 7— �1�S'�- ` (O�'1.L Sa�►r��`t Ot S SL) <br /> Relinquished by(Signature) ate Time Re eived by(Signature) Date Time <br /> Q A- tZU 0' <br /> Relinquished by(Signature) ate Time ec ved by(Signatu Date Time <br /> Preservative: Matrix <br /> O 4°C©HCL O-NaOHO Na2Sz03 0-HNO3 O-H S Oa 0 Other Drinking Water®Waste Water ® Hazardous Waste(Water)©SoiUSolid <br /> 2 <br /> Pump Truck Time Mileage <br /> Bailers _55 Gallon Drums_ E3 <br /> Approved By: <br /> Turnaround Time ❑Standard CISH rer Rush (;Wd Rush Platinum Rush Other <br />
The URL can be used to link to this page
Your browser does not support the video tag.