My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS XR0000810
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
C
>
CALIFORNIA
>
3212
>
3500 - Local Oversight Program
>
PR0544153
>
ARCHIVED REPORTS XR0000810
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/15/2019 10:57:24 AM
Creation date
2/15/2019 9:14:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000810
RECORD_ID
PR0544153
PE
3528
FACILITY_ID
FA0006773
FACILITY_NAME
ARCO 02186
STREET_NUMBER
3212
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12532001
CURRENT_STATUS
02
SITE_LOCATION
3212 N CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
002
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.
/
41
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
�. sage—L of <br /> Chain of Custod ccolyd L (J <br /> On-site Time Tempe <br /> tir <br /> Project Name A;Lc-o 'z„t;6 Off-site Time Temp �f <br /> BP BU/GEM CO Portfolio: � ff <br /> _�1<Ye�tri( Sky Conditions <br /> / r 131' Labw atory Conti act Nunibet: Meteorological Events � <br /> Date: !�[ o3 Requested Due Date(mm/dd/yy) Tgt-- wind Speed Direction <br /> Send To BP/GEM FacilityNo <br /> T Consultant/Contractor <br /> Lab NameBP/GEM Facility Addres tJ T-0C&U0erp AddressQtl.. <br /> I-ab Address 1 (., tj CA Site ID <br /> u. ` Site Lat/Long e-mail EDD <br /> u vt+ZE& California Global ID# 0635' Consultant/Contractor Project No V LL16 <br /> Lab PM ", P/GEM PM Contact (4 Consultant/Contractor Tel <br /> Tel Q n Address <br /> Consultant/Contractor PM <br /> Report l ype o Qt Level Invoice to Consultant/Contractor or Circle one) <br /> Lab Bottle <br /> Account o TelelFax 13I'/GEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> w <br /> b <br /> Item <br /> ` Sample Description Time ' Laboratory No o a <br /> o M Sample Point Lat/Long and <br /> a °'O C14 00 00 <br /> Q4 ^' Comments <br /> t� � <br /> r2 e I &-01 )e <br /> z -2 0 --tea <br /> Lx <br /> 3 <br /> 4 <br /> OL EER C JSTO Y SEALS INTACT <br /> 5 fw•6 G <br /> 7 —V7 <br /> S —09 , <br /> 9 -�.�3 -Oq <br /> \J W.3 J+ -to <br /> Sampler's Name ReWquished ByIAffihabun Date Time ccs Byl ftili tion Date Mme <br /> Samplces Company / L r 4"6dd d3 dd t <br /> Shi went Date <br /> Shipment Method <br /> Shipment Tracking No <br /> Special Instructions <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt °F/C Tnp Blank Yes No <br /> LABORATORY BP COC Rev I Z1510Z <br />
The URL can be used to link to this page
Your browser does not support the video tag.