My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS XR0004088
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
K
>
KETTLEMAN
>
2449
>
3500 - Local Oversight Program
>
PR0543823
>
ARCHIVED REPORTS XR0004088
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/22/2018 12:46:47 PM
Creation date
10/22/2018 10:49:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS XR0004088
FileName_PostFix
XR0004088
RECORD_ID
PR0543823
PE
3528
FACILITY_ID
FA0003760
FACILITY_NAME
SUNWEST LIQUORS
STREET_NUMBER
2449
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
APN
02741005
CURRENT_STATUS
02
SITE_LOCATION
2449 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
17
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
L REQUEST//SAMP CHAIN OF CUSTODY-- LAB-TRACKING #: <br /> - ANALYTI Q . <br /> OF DATE RECIEVED: �---- <br />� REcoltn � -' <br /> LAB.INVOICE <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES <br /> 10624 OLIVE AVENUE,OAKDALE,CA.%Ml <br /> OFFICE-(209)647.SJ57 pg 0�.�-� IONTACP: <br /> FAX .(209)647-7144 ` <br /> CALMORNIA CONTRACTORS LTC ENSE 6 6573661 CLASS"A"ENGINEERING <br /> LAB.ANALYSIS R SITE SAMPLING MAP <br /> Ci.TEN1': pONSULTANT: i. <br /> PROJECT': P� � <br /> SITE I'IAME �» 6 C - <br /> _ ADD�tBSS: QTY: i, G •o ad H e <br /> SAMPLER KIGNATVRE: <br /> WAYBTI� - <br /> � j -DAY m 307 ` - <br /> ANAI.YSLS BYr` M TURNAROUNID T5M <br /> colvrAuvr�ls rrre IlrArnnc I!! ii f 41 <br /> I u .!!� li pili 'ii33l41 13 lil ll, REMARKS I IAB.I.D.. <br /> !' =n.SAAfPLBLAI -,pArS 77dlE Z- <br /> 12, <br /> FAY- <br /> 77 aa. .. <br /> f' A?�' 7`h a •�• Yea _ r- — - - 2. <br /> NET <br /> — w r;_ DA7ar7dd6 _ P C ON <br /> R11C�V®8Y - - _ <br /> RECFIV$D COLD A INTACT 7 YES NO <br /> d: y (51�L1TUR6! DA7F 17WE <br /> yy- .` RBo�tt7ea8Y L AIR BUBAS IN VA A S F 1 Y85 NO t v <br /> aY �e rwr• __- ' s = CUSTODY SEALS INTACT (YBS NO NIA ' <br /> ��-s. �+., sY •- •y - g :l (Sl3NA7'URBI DA7E!'Mffi <br /> ' _ r - a YRP.SERVATrYSS USED I YES No <br /> } ..vs�'•+� °rij'..5.. lc-.a' �"ii�,.rs c- '' 3 �� 3eH(HVPDBY. :._ - - - - - <br /> �: <br /> w a,�, k - •� ` : " • '1` (141.TBE,TA.ME,ETJ;E,D.IPE,TBA.} <br /> SUBMTfTEiDF4RTHEFU(LHOLDINGITMEALLORED UNIES54TfIFRARRANGPI�NISAREINAIJE <br /> 1gORE E'IPASE AitC3IIVE THE SAMPiE_S F B.=FIELD BLANKS COL CTf7J IN THE FIELD. ' <br /> $B BAILER BLANKS COLIECIFID IN TIS I7F7 I] - I pW RE7 URN TO CI IEN7 WITH RESULTS DEL-TECH C.O.C.FORM 99 <br /> c. PINK-pIELp COh ' yY = <br />
The URL can be used to link to this page
Your browser does not support the video tag.