My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0007296
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
W
>
WILSON
>
2211
>
3500 - Local Oversight Program
>
PR0545106
>
ARCHIVED REPORTS_XR0007296
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/19/2019 4:23:06 PM
Creation date
12/19/2019 4:08:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007296
RECORD_ID
PR0545106
PE
3529
FACILITY_ID
FA0003694
FACILITY_NAME
RIVER CITY PETROLEUM CARDLOCK
STREET_NUMBER
2211
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11707050
CURRENT_STATUS
02
SITE_LOCATION
2211 N WILSON WAY
P_LOCATION
99
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.
/
30
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
ti , _77,_ r k_J 7 Z7 / U(('G' GI C.l I ly <br /> r1 <br /> -- ANALYTICAL REQUEST/SAAIP CHAIN OF CUSTODY-- LAB TRACKING # ...--�-}-- ---------- <br /> RECORD J_ OF DATE RECIEVED <br /> tr <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES LAB IN]VOOIIfCE To -D---- - .--. #�" -- y � ---------(------,-------- <br /> 10624 OLIVE AVENUE,OAKDALE,CA 95361 .......-"-"._.I a....1. <br /> OFFICE-(209)847-8757 . <br /> FAX .(209)847-7744 PH# (- )3b X38 CONTACT -.-ZI.... .`_'_}_�t__�.. _4 ............ <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING <br /> OB# ----------•---------- OCE#.......-------------------!'O # ..............._...................-... <br /> LAB ANALYSIS REQUESTED SITE SAMPLING MAP <br /> CLIENT f } CONSULTANT L�.t. ` 6 <br /> SITE NAME L 4. • PROJECT elAiD, t �1 <br /> ADDRESS _r IIS L CITY ST I <br /> SAMPLER SIGNATURE U MT <br /> d N O i <br /> SHIPPED VIA L C. WAYBILL# <br /> ANALYSIS BYM TURNAROUND TIME � DAYS <br /> SAMPLELD 0 DATE TIME CONTAINERS TYPE MATRIX €, i€�I , ' € REMARKSILAB ID <br /> f <br /> d <br /> 3) A�'�' S <br /> r7) <br /> a3 <br /> t 1) d IS �? <br /> 12) .� - D s 5 <br /> 13) <br /> 14) <br /> 15) <br /> DATEf7A(E <br /> REL>NQu1sD Bl ` 4 RECET�Rl �� / fin 3,� �'D SAMPLE INTEGRITY//CONDITION <br /> (SIGNATURE) '- ° c "��7 ' 1 /y I RECEIVED COLD&INTACT ! YES4- } NO ( I <br /> r <br /> j DATEfTIME <br /> RELLNQUISIED Bl / �- f j�. RECEIVED RI / - c-1 trJ ,moi/ AIR BUBBLES IN V O A'S !YES NO f LINES M <br /> s.I CUSTODY SEALS INTACT t 1 ES h0 f NIA ( } <br /> DATE!TWEREl_hQUISHEDRl RECEIVED RI PRESERVATIVES USED ! YES(.,,,,NO ( <br /> (SIGNATURE, f O V SiL <br /> I- <br /> NOTF PLEASE ARCHIVE TNF SAMPLES SITHMTTTAI)FOR THE FULL HOLDING TIME ALLOWED UNLFSS OTHER ARRANGEMENTS ARF MADE (M T B F,TAME,E T B h D I P E TBA) <br /> B B =BAILER BI ANKS COLI E=D IN THE FIELD F B =FIELD BLANKS COLLECTFD IT THE FIELD <br /> PI%K F1FLD(OPl NHITFI(1FLIO11 TOI.AR MITHSA\1PLFS 1FIIOV1 RFTIR%TO(IIFNT1lITIIRES(,17S DFI TFCII( 0C FOR 4198 <br />
The URL can be used to link to this page
Your browser does not support the video tag.