My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0009846
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
S
>
SHAW
>
1500
>
3500 - Local Oversight Program
>
PR0545688
>
ARCHIVED REPORTS_XR0009846
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/21/2020 3:18:04 PM
Creation date
5/21/2020 9:51:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009846
RECORD_ID
PR0545688
PE
3528
FACILITY_ID
FA0003634
FACILITY_NAME
CANTEEN CORPORATION
STREET_NUMBER
1500
Direction
N
STREET_NAME
SHAW
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14326008
CURRENT_STATUS
02
SITE_LOCATION
1500 N SHAW RD
P_LOCATION
99
P_DISTRICT
002
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.
/
102
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
Cllent, C <br /> DEL-TECH SAMPLE CHAIN OF CUSTODY RECORD- <br /> nicauppasAddress' <br /> r , <br /> ' ^Geotechl Sort Services (plee pdno Phone mw <br /> -K -� <br /> rZ , :_ _ - -_.- w. ; _ - I ProM dcontact BILL gym <br /> 14624 Olive Avenue_ T - A " <br /> - <br /> --Oakdale Calif. 95361. _ PW.Field QPfr <br /> Ldwmory <br /> {249}847.8757 Record of Vyellow.RRettu t�dient wfth Samples <br /> PROJECTISITE NAME. k F5. ANALYSIS REQUESTED <br /> �kad �Vdk <br /> PROJECTICONTRACTIPO NO_Jt _ <br /> Lt a 0 Ll IE <br /> NAME OF SAMPL REMARKSISPECIAL INSTRUCTIONS <br /> LAB USE ONLYAMWa NUMBER <br /> a OF <br /> LAB I D I D ATE TIME O CON <br /> U Q ITAINERS <br /> � � v <br /> iv_Tw &A <br /> 3 <br /> 3 -All (b'� <br /> re,03-31' <br /> P-0 3 —6V IT-1 Al I <br /> RELINQUISHED BY SIGN DATEII'IME RECEIVED BY SIGN OATEITIME RECEIVED FOR LABORATORY <br /> 72 BY(SIflN$ DATEITIME <br /> .' <br /> i.? �J�l"1 L` .y r v —�— — —j^ y —r =• r . .. e �Y��4 t Y fr 'i.. • t Y 'r jay <br /> RECEIVED: <br /> AND INTACT y,G, ' OTHER PRESERVATIVE OYES10 <br /> —j <br /> - ❑OTHER: <br /> TURN AROUND TIME: <br /> SHIPPED VIA: ❑PED X OUPS MTHER•� , SNIPPING ORDER NO, <br /> [01 24-H 02-Dq ❑"Vj x10-Darr <br />
The URL can be used to link to this page
Your browser does not support the video tag.