My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0009769
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
S
>
SECOND
>
106
>
3500 - Local Oversight Program
>
PR0545680
>
ARCHIVED REPORTS_XR0009769
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/20/2020 2:52:12 PM
Creation date
5/20/2020 2:45:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009769
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.
/
32
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
IT 680Ms ke Driv edvro Ctty,"9406-415)�960FRX(4R-� <br /> QUOIA ANALYTICAL 1-9600 FAX 916 921-0100 <br /> ❑ 819 Straker Ave , Suite 8• Sacramento, CA 95834 (916} 92 ( ) <br /> 7- Di <br /> CHAIN OF CUSTODY ❑ 404 N W eget Lane -Walnut Creek, CA 94598 - (510) 988-9600 FAX (510) 988-9673 <br /> Company Name Project Name -T- ��t� <br /> ATL 1455�4c. �c lL�� <br /> Address t l 1 Lown P��k, ���_ S 6 $ Billing Adcliass(if di�erant) <br /> City Je.6 -c State [_/� Zip Code It5 3 f <br /> .. <br /> c <br /> Telephone Zai Zq- 12.Z i FAX# Zd S)q'ZLZS PO # LD <br /> Re ort To '4CS�KK�', lin,^-t Sam ler "�a-�-• La ��"`�'`-'"'`O"" QC Data Level D (Standard) ❑ Level C L) Level B ❑ Level A v <br /> C <br /> Turnaround 10 Working Days ❑ 3 Working Days L) 2 - 8 Hours ❑ Drinking Water Analses Requested n <br /> Time ❑ 7 Working Days ❑ 2 Working Days n b G ❑ Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours `1 4 Other <br /> Client Date/Time Matrix #of Cant Sequoia's �` ,, -v Comments <br /> Sample I D Sampled Desc Coni Type Sample# 4' <br /> Ito TR es ` 6' (3crtsS <br /> 1 TP-5 t- +5-n =► m <br /> �_sg� -�c.o 4 ►� �L cn <br /> 2 <br /> 3 <br /> 2 <br /> 3 -> -Sgt-H4$ t►'.4Z m <br /> 4 TV-S927 3o s t�1�tb 0� <br /> X <br /> 5 T� -5el3�3eS i5.lo <br /> 6 <br /> ca <br /> 0 <br /> 7 :3 <br /> Cr <br /> m <br /> Cn <br /> 8 <br /> w <br /> 9 <br /> 10 <br /> Relinquished By Date ►t-q-y� Time Received By ,3�nG �� Date l �� ime �`�o <br /> 3 Date ime <br /> Relinquished By _V Al,i� *-t �� Date _y Time Received By <br /> Relinquished B <br /> Date Time Received B Lab�L,�041� Date r '! ime )7 y� <br /> Were Samples Received in Good ConditionlA' Yes 0 No Samples on Ice? &Yes 0 No Method of Shipment Le a�` `` Page I of <br />
The URL can be used to link to this page
Your browser does not support the video tag.