My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0009227
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
T
>
TILLIE LEWIS
>
1444
>
2900 - Site Mitigation Program
>
PR0540506
>
ARCHIVED REPORTS_XR0009227
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/11/2020 12:31:52 PM
Creation date
6/11/2020 12:23:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009227
RECORD_ID
PR0540506
PE
2950
FACILITY_ID
FA0023166
FACILITY_NAME
MONBERG PROPERTY
STREET_NUMBER
1444
STREET_NAME
TILLIE LEWIS
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
16335003
CURRENT_STATUS
01
SITE_LOCATION
1444 TILLIE LEWIS DR
P_LOCATION
01
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.
/
20
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
Anr !� <br /> tom' AWWAF"t CHAIN OF CUSTODY RECORD AND ANALYSIS REQUEST <br /> PROJECT NO PROJECT NAME/SITE ANALYSIS REQUESTED p p <br /> /�appZ•oo 4A <br /> ..�r� �/0 t.4 c�,eP /�Tack7-o.J �, <br /> Cc <br /> j SAMPLERS (SIGN w W <br /> (PRINT) <br /> z ^ ^ <br /> p � �o �o roo ^oco <br /> SAMPLE IDENTIFICATION DATE TIME 2 ¢ PRES w �,} �� !bN- <br /> � <br /> O � USED U zz N hQ Ileh� �� `�� �ryh REMARKS <br /> MW- d Yrs ;3 W 1 aj05� :z al <br /> a oz 3 !qqD ✓ 3 ✓ ✓ oZ <br /> LImw <br /> 0213 3C7 ✓ ✓ 3 ✓ ✓ o; <br /> Mw- <br /> 010293 / ✓ .i v 7 W v ✓ 4 <br /> O�6Zg 3 !NO ✓ ✓ ✓ 77 � ✓ v 4r <br /> M - 0802'13 000 ✓ ✓ v 3 ✓ ✓ 06 <br /> z <br /> r <br /> t <br /> RELINQUISWE X DATE TIME RECEIVED BYE S� LABORATORY PLEASE SEND RESULTS TO <br /> -0 oe -FE,5.4.- rlRA VAC /,.4 <br /> RELINQUISHED BY DATIJ TIME RECEIVED BY <br /> /Z/f <br /> RELINQUISHED BY DATE TIME RECEIVED BY REQUESTED TURNAROUND TIME <br /> 'q , /A?A <br /> RELINQUISHED BY DATE TIME RECE D BY LABORATORY RECEIPT CONDITION PROJECT MANA ER <br /> i <br />
The URL can be used to link to this page
Your browser does not support the video tag.