My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0009726
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
S
>
SECOND
>
106
>
3500 - Local Oversight Program
>
PR0545680
>
ARCHIVED REPORTS_XR0009726
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/10/2020 10:40:24 PM
Creation date
5/20/2020 2:30:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009726
RECORD_ID
PR0545680
PE
3528
FACILITY_ID
FA0005535
FACILITY_NAME
THIEMANS SERVICE
STREET_NUMBER
106
STREET_NAME
SECOND
STREET_TYPE
ST
City
RIPON
Zip
95366
CURRENT_STATUS
02
SITE_LOCATION
106 SECOND ST
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
22
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
�� N° 0467 <br /> w �rrr r =NW�� <br /> E���Mrs IN OF CUSTODY RECORD AND ANALYSIS REQUEST <br /> PROJECT NO PROJECT NAMEISITE ANALYSIS REQUESTED Po R <br /> O! <br /> SAMPLERS (SIGN} z a N <br /> 0 <br /> i o <br /> (PRINT} /Olmve, of r ca." z Lu <br /> SAMPLE IDENTIFICATION DATE TIME o a FRES U O <br /> U 0 USED z �Q �� �� � �ryh REMARKS <br /> 0401-14 o99s )f <br /> 0 6 W4 ( foo n 3 <br /> Mw obox�}`I <br /> RELINQUISHED BY DATE TIME REC VEIJ BY LABORATORY PLEASE SEND RESULTS TO <br /> ��,,, <br /> o t,a. <br /> RELINQUISHED BY DATE TIME RECEIVED BY <br /> RELINQUISHED BY DATE TIME RECEIVED BY REQUESTED TURNAROUND TIME <br /> RELINQUISHED BY DATE TIME RECEIVED BY LABORATORY RECEIPT CONDITION PROJECT MANAGER <br />
The URL can be used to link to this page
Your browser does not support the video tag.