My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0002926
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
H
>
HAMMER
>
3250
>
3500 - Local Oversight Program
>
PR0545251
>
ARCHIVED REPORTS_XR0002926
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/31/2020 10:18:10 AM
Creation date
1/31/2020 9:32:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002926
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.
/
89
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
CDSQUOIA ANALYTICAL 'P 819 StrakerAveite 8 •Sacramento, A 958.14 • y7d) y�l-�bVU rH� td aci u <br /> ❑404 N Wiget L •Walnut Creek, CA 94598• (925) 988-9600 FAX (925) 988-967 <br /> CHAIN OF CUSTODY ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (7 792=0342 <br /> ❑ 1551 Industrial Road•San Carlos, CA 94070• (650) 232-9600 FAX (650) 232-9612 <br /> FCompany Name �� .. Project Namefie + r&0 <br /> Mailing Addiess 733 Al- art & Surma Billing Address (if different) <br /> City Ikl State C* Zip Code q � <br /> Telephone 9hr 9���3©o FAX # qb• YLS'-33 PO # m <br /> Report To ��' alo�o Sampler Pv, - ^ OC Data 0 Level D (Standard) 0 Level C 0 Level B 0 Level A Y <br /> Analyses Re uested <br /> Turnaround QIl 10-15 Working Days O 3 Working Days 0 2-B Hours 0 Drinking Water Y q a. <br /> Time. 0 7 Working Days 0 2 Working Days 0 Waste Water Qfir <br /> O 5 Working Days O 24 Hours 9 Dther6!;I � <br /> �i <br /> Client Date/Time Matrix # of Cont Sequoia's 6 Comments <br /> Samplo I D Sampled Desc Cont Type Sample # <br /> ') 96/000ql L dsow L � ft ry r� o <br /> aim Cr <br /> 2 M P-I (IS 9 0915 '¢ 8b n <br /> cam VC,*"4 b y W 01 <br /> 3w_1 "ZS' L rdh ry 87.49 o <br /> 4 kw- lo /lot <br /> 5 1 S?) t o y -0 <br /> 6 t,tw - 21249 )15 '°_bCa <br /> 7 MW -3 o 13SI 0 <br /> 9 ,�w -: C leo <br /> 10 <br /> Relinquished By Date 9/�/0o Time oW Received By Date l7 Time p� <br /> Relinquished eyDate Time Received By Date Time <br /> Relinquished By Date Time Received By Date Time <br /> Were Sample Received in Good Condition? Ll Yes ❑No Samples on Ice? U Yes U No Method o1 Shipment Page r_ of <br />
The URL can be used to link to this page
Your browser does not support the video tag.