My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0004447
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
M
>
MAIN
>
419
>
3500 - Local Oversight Program
>
PR0545347
>
ARCHIVED REPORTS_XR0004447
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/6/2020 4:55:24 PM
Creation date
2/6/2020 3:49:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004447
RECORD_ID
PR0545347
PE
3528
FACILITY_ID
FA0003685
FACILITY_NAME
DBA CIRCLEK, REFUEL PETROLEUM INC.
STREET_NUMBER
419
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21938610
CURRENT_STATUS
02
SITE_LOCATION
419 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
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.
/
76
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
Conda*Earth Technologies, Inc. <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite I <br /> P.O. Box 3905/ Sonora, California 95370 Stockton, CA 95206 — <br /> N° 6238 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> C( %,"-r info@condoreanh.com(e-mail) condor@condorstockton.com(e-mail)I RnCtG� <br /> SHIPPED TO:: SEND RESULTS TO: <br /> NAME: LeC /,-lcw-sc <br /> OFFICE: <br /> ❑ PLEASE FAX RESULTS: PROJECT: <br /> PROJECT NO. co NO. ��� <br /> 5. ✓ Verification <br /> ' <br /> F <br /> SAMPLED BY: <br /> .�' con- � <br /> (Signature) 171:21"141,115, tain- <br /> Date Tirne Sample ID ers REMARKS : MISC. <br /> !0 / 76 <br /> Relinquished By: Date: Time: Received By: G` Date: Time: <br /> (Si nature) �v'1t L./� /s. '/ V 15-5-C) (Signature) ,p'j <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book <br />
The URL can be used to link to this page
Your browser does not support the video tag.