My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS XR0004925
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
L
>
LOUISE
>
85
>
3500 - Local Oversight Program
>
PR0544124
>
ARCHIVED REPORTS XR0004925
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/8/2019 3:52:16 PM
Creation date
2/8/2019 3:10:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004925
RECORD_ID
PR0544124
PE
3500
FACILITY_ID
FA0012144
FACILITY_NAME
ARCO STATION #6080
STREET_NUMBER
85
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
APN
19627010
CURRENT_STATUS
02
SITE_LOCATION
85 LOUISE AVE
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
TMorelli
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
13
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
of—L <br /> Chain Of Cust dy l ecord - t"J � On-site Time Temp <br /> z bp Project Name �p <br /> Off-site Time p Temp <br /> f BP BU/GEMCO Poi tfoiio; 'e( ( Sky Condittons B( <br /> BP Laboi attiry Conn act Number: Meteorological Events C -- <br /> Date: Requested Due Date(mm/dd/yy) TAt- Wmd Speed Direction <br /> Send To: "4— BP/GEM Facility No Ja D Consultant/Contractor <br /> Lab Name BP/GEM Facility Addre ", ti Address p <br /> Lab Address i (, W ([ � Site 1D No tiL c.� <br /> ` 7 Site Lat/Long e-mail EDD <br /> fid. California Global M# rp Consultant/Contractor Project No G_v" <br /> rLabPM BP/GEM PM Contact <br /> Consultant/Contractor Tele/Fa C7 G r.•o <br /> I ele/F i 7GF7,o2 2 w 2 Address Consultant/Contractor P <br /> Report Type&QC Level i Invoice to Consult—Ir—Tractor or(g12UjM (Circle one) <br /> BP/GEM Account NoTele/Fax BP/GEM Woik Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> Item a <br /> Sample Description Time 'd Laboratory No No <br /> a o x o Sample Point Lat/Long and <br /> r° o NN Comments <br /> 00 00 <br /> vs J-) a Z x x CG R7 W W ti <br /> y- <br /> 2 <br /> Z cr. �-' z Y _p 1G <br /> Ile <br /> 3OV -Q3 k <br /> 4 <br /> i <br /> S I OO ER UST DY EALS{NTACT <br /> 6 <br /> 7 I <br /> 8 i c <br /> 9 <br /> 10 <br /> SaMpler's NamelRelinquhlied By J Atrdut n —47Date iiia Accepted By I AMtjqn seq, b■te inn <br /> Sampler's Company cl ll p <br /> Shipment Date 11 Skc (4663 <br /> Shipment Method <br /> Shipment Tracking No <br /> Special Instructions <br /> Custody Seals In Place Yes No Temperature Blank Yes No 'y Cooler Temperature on Receipt °FIC Trip Blank Yes No -� <br /> i� LABORATORY BP COC Rev 1 2!5!42 <br /> I <br />
The URL can be used to link to this page
Your browser does not support the video tag.