My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0012521
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
N
>
99 (STATE ROUTE 99)
>
18846
>
3500 - Local Oversight Program
>
PR0545627
>
ARCHIVED REPORTS_XR0012521
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/19/2024 1:50:34 PM
Creation date
4/28/2020 4:45:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012521
RECORD_ID
PR0545627
PE
3528
FACILITY_ID
FA0003883
FACILITY_NAME
VICTOR FINE FOODS
STREET_NUMBER
18846
Direction
N
STREET_NAME
STATE ROUTE 99
City
LODI
Zip
95240
APN
01709051
CURRENT_STATUS
02
SITE_LOCATION
18846 N HWY 99
P_LOCATION
99
P_DISTRICT
004
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.
/
40
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
.. .. ... r •+_ :i -; Y1. .�. .-.� � . -• .�. --.. .. i .. r.. �_`.• -:.'r. .. .Y�,.k i.=....=.. �F?�.�Y'-�X`-i�. J-?1. <br /> i MAIN OF CUSTODY RECORD aT..- ,\ <br /> Sherwood8071 N. Lander Avenue <br /> P.O. Box 93C <br /> Hilmar, California 95324 <br /> Labs (209) 667-5258 Attention: Phone: <br /> C O R P O R A T I O N FAX (209) 667-2581 Page of <br /> Jab Number P.O.k Project Name <br /> Sa t Sign re) C Site Address <br /> lb <br /> SAMPLE LO ATION (GRABOF <br /> ATE TIME NUMBER TYPE SAMPLE _V <br /> ,' (IDENTIFICATION) (MTHIDAYNR) (HOUR/MIN) CONTAINERS COMPOSITE) MATRIX �� <br /> REMARKS <br /> 11 T <br /> ' �cJ <br /> 2 <br /> L <br /> r <br /> iRelinquished H�(Signa ) Date/Time Received By:(Signature) DatelTime <br /> TURNAROUND TIME <br /> AV <br /> 1170 a <br /> Relinquishe By:(51fjnature) Dae a Receive y:(Signature) Date/Time 24 HOUR ❑ <br /> �j S / s� 48 HOUR C] <br /> RofnqUiShed By:{Signature) Date/Time Received By:(Signature) DateMme rJ DAY <br /> A( <br /> DISTRIBUTION: Original-Accompanies Shipment Canary Copy:Sherwood Pink Copy:Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />
The URL can be used to link to this page
Your browser does not support the video tag.