My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0002414
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
G
>
GRANT LINE
>
455
>
3500 - Local Oversight Program
>
PR0545202
>
ARCHIVED REPORTS_XR0002414
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/27/2020 11:24:55 AM
Creation date
1/27/2020 10:29:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002414
RECORD_ID
PR0545202
PE
3528
FACILITY_ID
FA0003124
FACILITY_NAME
7-ELEVEN INC. STORE #20304
STREET_NUMBER
455
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
455 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
45
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
r <br /> Ah <br /> 4080 PIKE LANE, SUITE c AIN-OF-CUSTODY RECORD T319 , <br /> CTE CONCOnD, CA 94520 i <br /> (510) �.85 7852 AND ANALYSIS REQUEST <br /> r <br /> (800) 423 7143 <br /> Company Name Phone H (9 it) 3 7 14?C0 ❑ <br /> c i~ FAX Ij w ❑ _ ; <br /> RH7 <br /> Company Address f Yr7! }� 1�Rrc� f pl� /`IO Site Location 9W &6,4r�A.r � ❑ ❑ 0 <br /> t/ r ri P) Trac c"n D ❑ ❑ a ❑ ❑ r1 <br /> Project Manager J s Chent Project lU (tt)02D1MIOa . 69ooS <br /> v ❑ © z z ❑ O ❑ r— m <br /> tah G r NAM L 7 �_ o ❑_ ❑ <br /> I attest that the proper field S-imphnq Sampler Name(Pnnl) ~ a ❑ rn 0 ❑ ❑ a E ❑ a <br /> t m � Es v fl In ❑ m Q a v CO t� tc <br /> procedures were used during the /� c C7 ❑ ❑ ❑ <br /> ( L I` R ! $ o � ap No o a s Q C7 a° N a° <br /> collection of these samples U z- Q <br /> o u ? "' ut m a m m ❑ m m ❑ [3O o U oUl <br /> Matrix Method Sampling No cv7 a m ❑ o w a a o ❑ ❑ m ❑ 4 C4 El LL <br /> Field GTEL w Preserved `5 C c m ❑ ❑ w w m a m m y y y ❑ C� <br /> m o o m m ao D ❑ 0 a a ❑ m N <br /> Sample Lab z W Q � " 'n N m Q a x m "' <br /> p rx C7 s Xrr n Ln o m to w m O N c o <br /> ID rLab Use o ¢ � m o X v 0 w as i- a N r T T m a d a ad. a a 4 a a n~ v Q a d <br /> ` y / u o <br /> Only Z N d O 2 = S U 7N Un p N m m S U H W W W W W W W W W M W U J U U <br /> X II' f <br /> i <br /> 1137 <br /> F� F <br /> +-� REMARKS <br /> TAT Special Handling SPECIAL DE'TECTION LIMITS Q� l <br /> Priority(24 hr) i GTEL Contact <br /> Fxped led(48 hr) r ' QuotelConlract 4 <br /> i <br /> Business Diys Confirmation 0 __ <br /> " er Sr'ECIAL REPORTING REQUIREMENTS LabUseOnly Lot H Storage Location <br /> A, <br /> 9usmrss Days P O H --- � I kD <br /> QAIQC Level <br /> Blue f CLPr I Other 1 — L.FAX Work Ord r H <br /> Relinquished by Sampler r at <br /> Time <br /> caved b <br /> �/ t <br /> C T1 STOD T R I�n�urshed by t ime F� ed by <br /> RECORD c� <br /> Rel q s e by V <br /> ' Time Receed by Laboratory <br /> iv <br /> t <br /> t W ybill q f <br />
The URL can be used to link to this page
Your browser does not support the video tag.