My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS XR0006584
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
C
>
COUNTRY CLUB
>
1403
>
2900 - Site Mitigation Program
>
PR0505513
>
ARCHIVED REPORTS XR0006584
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/21/2019 9:43:10 AM
Creation date
6/21/2019 9:02:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006584
RECORD_ID
PR0505513
PE
2950
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
02
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\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.
/
77
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
V ❑885 Jarvis Drive - Morgan Hill, CA 95037- (408) 776-9600- FAX (408) 782-6308 <br /> V 008246 x;819 Striker Ave, Suite a - Sacramento, CA 95834- (916) 921-9600 - FAX (916) 921-0106 <br /> U 404 N. Wige1 Lane-Walnut Creek, CA 94598 - (925) 9W9600 - FAX (925) 988-9673 <br /> TOS <br /> � C) 1455 McDowell Blvd North, Suite D- Petaluma, CA 94954- (707) 792-1865 • FAX (707) 792.0342 <br /> ❑ 1551 Industrial Road - San Carlos,CA 940/70• (650) 232-9690- FAX (650) 232-9612 <br /> Consultant Company Se co�- Tosco Engineer. IFC) R 4-t J7eV;� <br /> f. Le 0 Site# <br /> j <br /> city (Z gyrn(�a _ tate t;,� Zp Code o� �-v Site Address !�p3 vL'W <br /> Telephone t�D Fax# /-- U -3 0 City, State yV r m <br /> ReportTo �S kv5 Sampler h,.t flC Data el D (Standard) ❑Level C v <br /> [ Lev ❑ Level B ❑ Level A <br /> Tumaround07 10 Work Days ❑ 5 Work D$y s ❑ WorkDa s y ❑ Drinking Water Analyses Requested a <br /> s <br /> Time ❑ 2 Work Days ❑ 1 Work Day ❑ 2-8 Fours p Waste Water <br /> p Other Pot`' ,�3� <br /> Project Coding <br /> Client Date/Time Matrix #of ContSequora's �Q� O� ���' o,�°ati�P Comments <br /> Sample I D Sampled Desc, Cont Type Sample# O <br /> z' `" h 70 3 vat <br /> 11 <br /> 2 Mjv` f -3,0 2.0 ,j e� <br /> 4 0_ t .01 a:a Air cC <br /> 5 �z-a-� �i xs A14 x <br /> 0 <br /> 7 <br /> s <br /> 9 _ - g <br /> Relinquished Date */61 TimiftfReceived B ate � ' Time <br /> I <br /> Relinquished By Date Time Received By Date Time <br /> Relin uished By Date, Time I Received I Date I Time <br /> Were Samples Received in Good Condition? U Yes ❑ No Samples on Ice? p Yes ❑ No Method of Shipment _ Page at <br /> To he completed upon receipt of report <br /> i)Were the analyses requested on the Chain cf Custody reporled7 0 Yes ❑No If rm,what anaiyses are still needed? <br /> 2)Was the report issued within the requested turnaround time? Q Yes Q No If no,what was the turnaround time? <br /> Approved by Signature Company Date <br />
The URL can be used to link to this page
Your browser does not support the video tag.