My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0012692
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
F
>
F
>
5491
>
3500 - Local Oversight Program
>
PR0545028
>
ARCHIVED REPORTS_XR0012692
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/6/2019 5:54:55 PM
Creation date
12/6/2019 2:59:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012692
RECORD_ID
PR0545028
PE
3528
FACILITY_ID
FA0003919
FACILITY_NAME
VAN DE POL ENTERPRISES
STREET_NUMBER
5491
STREET_NAME
F
STREET_TYPE
ST
City
BANTA
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
5491 F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\wng
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
376
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
j <br /> -- <br /> Send resillis to'. <br /> I'hune V)16)781 i1 11 <br /> FAX (+�Ir>)7ub •3u AE=GIS �nVironmLnti�� :'onstillt.ants, �83 AcgisEovirmmmcnl:il <br /> But Rivcnide,Suite C <br /> Sample Icaen[ii'ie:IlilnaF icld [,rain of cus(ody Record Roseville,CA ')5678 <br /> For Shell 4's <br /> Site <br /> Only <br /> Site Address: AI�WIC: <br /> AEGIS Projccl N: '- S <br /> Shipped RY: - <br /> G 5 _. ShellL•nginemer' <br /> Shipped To: , <br /> Projcctt�t,tnagci t?l3 't^^ il:rcartEousMatcrislsSuspcct d?(ycsJno) <br /> e <br /> (/�/ I�Ijamplling S:miplc No.of Ana:ysis <br /> y <br /> �( 1` I Location Field IN <br /> 1):LLe_1�Le Cunt:tincrs Ret aired <br /> Pain! <br /> M Z ► , <br /> Sampler(sy(sibnalnrc44- <br /> Field ID Receive{k It •tgnalure Ihticl!ime Comments <br /> Rclint uishtd Il (s1 malure) Y(_.: _._y <br /> 211 <br /> -! / <br /> Shi n►ent MCLI10d: F: <br /> I a Date/1'intc;� / — p <br /> Sealed for shtpmcnt by:{signalu <br /> [[- e <br /> Received fnr Lab by:(signautrt:) Comatcuu:.At� e-�� <br /> j <br /> 1100 ' <br /> --- ltcreiving Laboratory: Please Mum original form 311 CC Signing for receipt of s:unples. a <br />
The URL can be used to link to this page
Your browser does not support the video tag.