My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0004370
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
M
>
MAIN
>
1071
>
2900 - Site Mitigation Program
>
PR0506313
>
ARCHIVED REPORTS_XR0004370
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/9/2020 9:41:29 AM
Creation date
3/9/2020 9:19:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004370
RECORD_ID
PR0506313
PE
2950
FACILITY_ID
FA0000514
FACILITY_NAME
MAIN STREET SHELL*
STREET_NUMBER
1071
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21707011
CURRENT_STATUS
02
SITE_LOCATION
1071 N MAIN ST
P_LOCATION
04
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.
/
38
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
1 <br /> SHELL OIL PRODUCTS COMPANY CHA W OF CUSTODY RECORD} ®C <br /> nr .ti tr?r�1 si r 4 I f <br /> RCUESSEX <br /> gate "bpETAIL TYPE Select o e only <br /> Nw i ` , �sl .. .... }y �j+ �r,:�'S{r" { .s�✓,��r' y,�'Sva,�µed,,'+ F' <br /> �. -C �r1r I 'i VELeiIYRi( 1�77ML..a{�,5V�i MY4��r`^ <br /> t ° j�� �jYM"L <br /> e.TURN AROUND T1ME ,':aSelect arta only' eSimi <br /> µ <br /> r 124'hts Q 48 hra.® 15 dayR(rloms.g�Q Ot e;( r�y ` a &(i <br /> Anal sis Re ' <br /> SAM�„E MA�RIx.� �`r� g{ec�or� <br /> ill/t 1E m h- N C <br /> I to v O . LAB USE ONLY <br /> r E y c u� Q xsr i t <br /> 01 {n N O O $ 5D N 06 K Lab Tracldn No <br /> g 4 �I ,� !r Z H r fCVV rD 9 <br /> Agency ,�s: Sample Time N Ingo m Co - m v <br /> + a N N 6 _ =a a W 0. W x !C <br /> 0 co p I ?( r <br /> ,,',Field Sampie'1D (military] o n r- a a m 0. a. a a. CD <br /> m p Sam @ n[ltI0N3✓Ommen`tSl <br /> 4 L, - ? C, -Ca - <br /> � -V � �` ��) � a.1 n� � '.'t-`.... •;.�.�.1-r+r.s' "rv' I® � � - jo '�` I ' 4 f 3 r 1 � � + .� . .. .. � `♦ ��` y �� <br /> I .� L <br /> All <br /> 40 <br /> i t_ r <br /> 4 r <br /> &.''Y3 <br /> 1 jr Y <br /> f'f e g <br /> Ga <br /> Ett� <br /> ,VolerTemperature �n :11 <br /> VJ 7 F , a f »� � _ Matenal Description <br /> linquished 4(signature) 4 R Printed Name Date ReceivedBy(sl nature) Printed Name Date �.Z�', 'a <br /> - n; <br /> Time ° �� 4 - Es/ Tlme ' `��' <br /> Relinquished By(signature) Pdnted Name Date f Received By(signature) Printed Name Date <br /> r /� <br /> 04 C� ///� Time 17 zq Time € <br /> Relinquished By(signature) Printed Name Date Received By(signature) <br /> '� Printed Name Date <br /> Date Lt 2 , <br /> ITime 00 u� PD tms Time 11`G) X <br /> FORM g�ylyRRgpg "HE LABORATORY MUST PROVIDE A COPY OF THIS CHAIN OF CUSTODY WITH INVOICE AND RESULTS REVIS GFUUNOFCUSTO <br /> . _ . r � EVIS�� <br />
The URL can be used to link to this page
Your browser does not support the video tag.