My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0011440
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
F
>
FREMONT
>
4100
>
3500 - Local Oversight Program
>
PR0545177
>
ARCHIVED REPORTS_XR0011440
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/13/2020 5:26:48 PM
Creation date
1/13/2020 4:19:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011440
RECORD_ID
PR0545177
PE
3528
FACILITY_ID
FA0002123
FACILITY_NAME
GREWALS GAS & LIQUOR*
STREET_NUMBER
4100
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95215
APN
14333046
CURRENT_STATUS
02
SITE_LOCATION
4100 E FREMONT ST
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.
/
49
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
CASTLE ANALYTICAL LABORATORY �S � , / f c;� - ' -1'_ (J CHAIN OF CUSTODY <br /> Location: 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No. 2079 <br /> Mailing Address: 2333 Shuttle Drive, Atwater, CA 95301 PAGE OF <br /> Phone: (209) 384-2930 - Fax: 1209) 384-1507 <br /> Customer: REQUESTED ANALYSES Method of Shipment: <br /> Address: -3 5 1 1 (Ila L " m w <br /> City/State/ZIP: ��j ?� a o N J 'r Notes: <br /> Phone 1 FAX: ��;r o(- 2 ��' - - I w v z <br /> W n aW co O <br /> Proj # 1 P.D. #: G ( �ic,'C��r W a o <br /> na �. Xx *c. LL <br /> Report Attention: r a <br /> Sampler Signature: 8 9ti% m 4 3 <br /> Printed: " y z <br /> �y Z <br /> Lob 113E SAMPLE ID DATE TIME DESCRIPTIONILOCATION OBSERVAT101 14312 <br /> i <br /> b, 5- t-( f` 14313 <br /> r <br /> 61- 40 14314 <br /> �-2 14315 <br /> P7 30 <br /> ^zU 14316 <br /> 14317 • <br /> 14 318 I <br /> 14319 <br /> In <br /> •14326 <br /> :,.lira L'F <br /> I, A 14321 <br /> Total number of con! <br /> Signature r Printed Name f]etB Time Company Name �e1ab`1 Q322 <br /> t mote:All special requ <br /> Relinquished b I �� ' turn times must be tf ,1 <br /> Received by y authorized laboratory 1 4 3 3 <br /> Relinquished by: C71 <br /> p 14324 <br /> Received by: <br /> Relinquished by: I p p RESULTS DUE: <br /> n�rn1r pp <br /> eceived by: COhiDITIQN Arf R VERBAL WRI:TT4F- <br /> R \ 1� <br /> 0NZAlIVERS � r;: <br />
The URL can be used to link to this page
Your browser does not support the video tag.