My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0002918
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
H
>
HAMMER
>
3250
>
3500 - Local Oversight Program
>
PR0545251
>
ARCHIVED REPORTS_XR0002918
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/31/2020 10:34:59 AM
Creation date
1/31/2020 9:25:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002918
RECORD_ID
PR0545251
PE
3528
FACILITY_ID
FA0001877
FACILITY_NAME
AM PM HAMMER/I5 FOOD #83113
STREET_NUMBER
3250
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
08240009
CURRENT_STATUS
02
SITE_LOCATION
3250 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
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.
/
35
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
_ � � MCAM O"US�Y"AB"AT S MLRMESTIORIV�I 9� <br /> Shaw Enviro—*-.' tai& Infrastructure, <br /> Purchase Order 192121 <br /> 1326 North Market Boulevard, Sacramento,CA 95834 Lab CLS Labs <br /> F�Project <br /> ame Parkinson's Arco,Stockton Analysis Requested <br /> umber 8800401A/01060000 <br /> anager Mike Wademan <br /> pany Shaw Environmental&Infrastructure,Inc <br /> Address 1326 North Market Boulevard c o <br /> Sacramento,CA 95834 0 0O w <br /> 2. <br /> Dir Ph (916)565-43671 FAX (916)565-4356 w W a <br /> Sampler's Signature L) <br /> E x <br /> H REMARKS <br /> Sample LAB Sample 1 Container Types <br /> I D Date Time I D Matrix HC] Preservations <br /> MW-1 10,2 840 Water 4 4 <br /> MW-2 18 Water 4 4 <br /> MW-3 as? i Water 4 4 <br /> MW-4 qvv' Water 4 4 <br /> MW-5 �th Water 4 4 <br />� I <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> ocl REQUIREMENTS X I Routine Report <br /> 5i a Signature Signature Signature 24 hr 49 hr 5 day II Report(Includes DUP,MS <br /> X Standard(—lo IS working days) MSD,as required,may be <br /> Namq Printed Name Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> Pmvsde FAX Preliminary Results III Data Validation Report <br /> Firm Firm Firm Firm Requested Report Date (includes All Raw Data) <br /> S ww RWQCB <br /> Date/Time/0-7-OL l m= Date/Time Date/Tune Date/Time MLs/PQLV TRACE#) <br /> RELINQUISHED BY BY Special Instructions/Comments Container Types Key <br /> 40 ml VOA 1 <br /> Signature Need EDDs as required by the RWQCB CLS Labs 250 ml LPE 2 <br /> IP.+�ti E� 3249 Fitzgerald Road 500 ml LPE 3 <br /> Printed Name Printed Name Reporting limit 5ppb for MTBE Rancho Cordova,Ca 95742 1 litter HDPE 4 <br /> Cls 916-638-730I/Fx 638-4510 500 ml glass 5 <br /> Firm Firm Contact Ray Oslowski 1 liter glass 6 <br /> 1 0 0 3 ZS"S 2x6 s/s ring 7 <br /> Date/rime Date/Time <br /> glass far 8 <br /> _ I <br />
The URL can be used to link to this page
Your browser does not support the video tag.