My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0003923
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
L
>
LODI
>
2500
>
3500 - Local Oversight Program
>
PR0545420
>
ARCHIVED REPORTS_XR0003923
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/5/2020 5:52:05 PM
Creation date
3/5/2020 4:55:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003923
RECORD_ID
PR0545420
PE
3528
FACILITY_ID
FA0003815
FACILITY_NAME
TESORO (SPEEDWAY) 68154
STREET_NUMBER
2500
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
02740006
CURRENT_STATUS
02
SITE_LOCATION
2500 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
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.
/
58
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
ENGINEERING INC. �. �S� l.11 ;� 1 5 3 4 5 <br /> RCE#27011 Uc. #537901 8084 OLD AUBURN ROAD <br /> CITRUS HEIGHTS, CA 95610 <br /> LIC, # 5379015 IOE3 <br /> - - CHAIN OF CU'- ITODY C\ICct - ')Cj l-k L-f O g_'�I <br /> H NAME. <br /> ME('T %IANA(;E:R �.JES2),L j [C SAMPLES COLLECTED 13Y r��6SI� <br /> r—""—"-- SAMPLE TYPE ANALYSIS <br /> SAMPLE LOCATION DATE TIME NO. CONTAINER(S) REQUIRED <br /> SOIL AIH WATER <br /> f O lam- >1 <br /> ' L Z t l <br /> lx t 2�d <br />--r t�.lvat g — <br />�� <br /> - Z2 <br /> v <br /> 4T -ME AFTER SIGNATURE <br /> RECEIVED F3 Y: DATE/TIME <br /> UISHED l3Y:. KECI;fVEU [3Y: - <br /> - —- DATE/TIME <br /> Vc1111 .IIED 13Y: RECEIVED BY: DATE/TIME <br />(IVF.D FOR LABORATORY BY DATE:/TIME <br /> 101) OF SHIPMENT <br /> Otil. ' <br /> REFRIGERATOR � FREEZER <br /> J :1l:c)UND TIME SECURED <br /> -I IIOUIL� [1 3 DAYS [] I WEEK f WEEKS ❑ <br /> / YES NO <br /> PIJ:A: F: HAVE 1';AC'Il DATA 'SHERT SIGNED NY C'IfF;AfIST. <br />
The URL can be used to link to this page
Your browser does not support the video tag.