My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0007423
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
P
>
PACIFIC
>
6131
>
3500 - Local Oversight Program
>
PR0545003
>
ARCHIVED REPORTS_XR0007423
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/27/2019 11:38:06 AM
Creation date
11/27/2019 11:22:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007423
RECORD_ID
PR0545003
PE
3526
FACILITY_ID
FA0002324
FACILITY_NAME
Pacific Service Station
STREET_NUMBER
6131
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09746418
CURRENT_STATUS
02
SITE_LOCATION
6131 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
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.
/
22
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
q3r vIL �'VfVll'ANY FAIN OF CUSTODY RECORD Dolo: <br /> RE ENVIRONMEN fAl. ENGINUCRING - WEST Soria! No- 9(ovZzg -SZ- <br /> SrloAddress; 6131 Pacific Avenue, Stockton Pago lot + <br /> Analysts R©qulred _r <br /> WICK: LAB: Al E-T- <br /> 204-7525-0104 G[[Cl(ON[iglOx ONLY Cf/pr TV1tH AROUND 111,1f <br /> Sha,!! Enginoor: Phono No.: {510) ouoa•nyr+ontorin0 ® � <br /> -k /4. 5 Crrr..�,e :IiFox <br /> 75-y6168 24 h.. ❑ <br /> RTF7 31•InYM-Pdlo11 ❑ ) <br /> Consullanl rJamo & Addrbss• o A4 boon ❑ <br /> Blaine Tech Services, Inc. S sorcb.,ry/ot,po,ol ❑ wl <br /> ma Drive San ,lose GA 95133 li day. XET(Hoim44 <br /> C_ansullanl Conlacl: Phono No.: (4D8� W cla;ry/ow�,,, ❑ uu <br /> Jim Kell,er 95 535 L4 � � �' ah'I ❑ <br /> Fax --8773 a N go !ol/Akformorfrs <br /> Commonly. 0 is Q U) oam C] scat <br /> n. Iron Holky lobo, <br /> �•D iV Wolf R./R of Syf soon al to.aibk of <br /> O O O co o l m ❑ 61d� 24/II hn. W. <br /> Sampled by: " o«h•r p <br /> N 6 <br /> qo w rn a 0 <br /> CO CO H <br /> Prin}od Name: d! <br /> cr 4 4 O v N ° SAMPLE <br /> m <br /> u L v m o ,C H a o" MATERIAL / <br /> Sample ID Data, aludpo toll Watvr Aly No.or x x N ,� ° $, DESCRIPTION CONDITION <br /> cons:. 0 ►m U U o U COMMENTS <br /> 144 k) <br /> J w— <br /> STODY SEALED <br /> J _ D t TIm lnitlal .5 <br /> t ? <br /> Initial <br /> ollnqulthod Pllnlod Nemo, Dolo; <br /> o, Roc d(s1 4turo): Pllnl N ma. r)a1 <br /> olln i op(a,0 lo)e1K . I'llnr form Dolo• ora <br /> ilmo polo• <br /> 1 uls od By pr(slgnalulo): niod Noma. Dago `t o t4a ( fl Q lo} alma• <br /> rlmo ' <br /> PrinHomo.d Naa, polo• <br /> .n T1fT}a <br /> I <br /> V�11 <br />
The URL can be used to link to this page
Your browser does not support the video tag.