My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0009375
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
T
>
12 (STATE ROUTE 12)
>
3049
>
3500 - Local Oversight Program
>
PR0545717
>
ARCHIVED REPORTS_XR0009375
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/19/2024 3:45:50 PM
Creation date
6/3/2020 11:15:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009375
RECORD_ID
PR0545717
PE
3528
FACILITY_ID
FA0003912
FACILITY_NAME
MARTINIS BAIT & TACKLE
STREET_NUMBER
3049
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
APN
02514016
CURRENT_STATUS
02
SITE_LOCATION
3049 W HWY 12
P_LOCATION
99
P_DISTRICT
004
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.
/
23
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
7on7o arch TecEnsoTo`gies, Mc. <br /> CHA&OF-CUSTODY <br /> 21663 Bnan Lane 1125 N Golden State Blvd,Ste H Ij Agra Environmental Q I IOO�rpon Blvd <br /> /14P O Box 3905 P O Box 3448 5651 N Pershing Ave C 3 P O Box 30035 <br /> Ng C�3 5 5 <br /> Sonora California 95370 Turlock,California 95381 Stockton,California 95207 Pensacola Florida 32503 <br /> (209)532 0361 (209)668 9234 (209)474-1492 (904)477-0454 <br /> Fax(209)532-0773 Fax(209)668-9248 Fax(209)478-1716 Fax(904)477 0534 <br /> SHIPPED TO: SEND RESULTS TO ,� �,� <br /> r-'7-- `r+ 010�C_ U� <br /> CO r NAME -- - }� <br /> 7&de OFFICE <br /> BILLING INSTRUCTIONS <br /> ❑ PLEASE FAX RESULTS LABORATORY REPORT NUMBER <br /> PROJECT NO <br /> +U NO tis iJQ" �w <br /> f -�� v �- <br /> SAMPLED BY con- <br /> (Signature) tarn- <br /> ate Ti Sample ID ers �4 O REMARKS MISC <br /> dol <br /> a z <br /> s C z1© <br /> < 7 <br /> 3 <br /> Zld 216 <br /> Relinquished �� Dat `]� Received By Date Time <br /> (Signature) Q�_'t ! � �( (Signature) 4 `/!-�rr 'O <br /> Relinquished By D to ; Time Received By Date Time <br /> (Signature) (Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) I (Signature) <br /> Original-Send Yellow-File Pink-Log Book GARGLI GA"HICS J20915273667 FORM J692 <br />
The URL can be used to link to this page
Your browser does not support the video tag.