My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0005119
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MOFFAT
>
229
>
3500 - Local Oversight Program
>
PR0545566
>
ARCHIVED REPORTS_XR0005119
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
9/23/2020 10:47:17 PM
Creation date
3/17/2020 4:43:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005119
RECORD_ID
PR0545566
PE
3528
FACILITY_ID
FA0005479
FACILITY_NAME
MANTECA BEAN CO
STREET_NUMBER
229
STREET_NAME
MOFFAT
STREET_TYPE
BLVD
City
MANTECA
Zip
95336
CURRENT_STATUS
02
SITE_LOCATION
229 MOFFAT BLVD
P_LOCATION
04
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.
/
45
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
NGTEL4080- Pike Lane CHAIN-OP CUSTODY RECORD �� <br /> Concord,CA 94520 800 544-3422(In CA) AND ANALYSIS REOUEST 7� I 1 CUSTODY RECORD <br /> E N V I R O N M E N T A L 415-685-7852 800-423-7143(Outside CAS ANALYSIS REQUEST <br /> LAB ORAEORIES INC <br /> Project Manager Phone# 6S4 01- X$3+ ❑ ❑ ❑ <br /> / w ❑ 1:3 FAX# a 0 w ❑ �� <br /> 0 n M � <br /> Address Site location 2 Z? /kafrW r <br /> U J <br /> ❑ m ❑ 0 ❑ ° ❑ ❑ ❑ <br /> C-7 T-1 — Co�Co(Z� M !� c'A m $ N _ Lo Ln a <br /> Project Number Project Name 8 E` M v o ° + + ❑ ¢ <br /> w o ❑ v W U m E ❑ o a <br /> W <br /> _ _ ❑ � �M � ° oI attest that the proper held sampling Sampler Name(Punt) " ° <br /> U) Nprocedures were used during the collection U) o < 0 4-- � W Cpp <br /> o <br /> NN T � v <br /> of these samples Mf+7r ❑ ❑ o E LL <br /> ° oFieSource GTEL r Matrix Method Sampling wto N o � <br /> A.S E- o m cm <br /> co _o <br /> ro>m <br /> n>m aSample Of Lab# Preserved z 0 © ° ❑ ❑ ❑ ❑ ❑ID Sample (Lab use = oa❑ <br /> Dil z ¢ [C o o N <br /> WW W ro 0 0 N N >j 2 N W <br /> LU mp0. m u a pa w Pm <br /> J _ w a a a a a a a U aa o v <br /> rOw w w J a zo o F <br /> la .S. 2 K C x0 aNma <br /> A -S lJF INF _L _ _ _ _ yC 4) 0 E <br /> a 4 ,, <br /> CO <br /> A A a 0 <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specity) REMARKS G'ygrs -DFS to '�v <br /> 24 HOURS D <br /> EXPEDITED 48 Hours ❑ <br /> SEVEN DAY © n <br /> OTHER (#) BUSINESS DAYS m m m <br /> QA/QC CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location 3 5 <br /> iS <br /> FAX ❑ I pecif <br /> Y1 � c c <br /> Lot# Work Order# <br /> [[ ¢ irr <br />
The URL can be used to link to this page
Your browser does not support the video tag.