My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0012727
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
N
>
99 (STATE ROUTE 99)
>
9474
>
3500 - Local Oversight Program
>
PR0545623
>
ARCHIVED REPORTS_XR0012727
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/19/2024 1:50:34 PM
Creation date
4/28/2020 4:27:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012727
RECORD_ID
PR0545623
PE
3528
FACILITY_ID
FA0004968
FACILITY_NAME
CHEVRON 96155 (INACT)
STREET_NUMBER
9474
Direction
N
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95205
APN
08515003
CURRENT_STATUS
02
SITE_LOCATION
9474 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
278
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
I <br /> C11ain-of-cus jlyYRecor <br /> Chevron Contact[Name) <br /> M Chevron facility Number <br /> ci COConsultant Consultant //' {Phoney <br /> Ruleuse Number <br /> Project Numberl�1Y"' �`�� <br /> tT Laboratory Name <br /> Q U Cj <br /> N Consultant Name—� 'uF-� f—`'�Q`� -- `J <br /> / ( Contract Number <br /> 0p C tl000 Address r� r�aari 'fF L 1-lett P - f4-Z Cr� <br /> Lr) p ut - Samples Collected by{Name] <br /> Fax Number i�f^ 7.2'Z JCS=��— Gln <br /> Collection Date <br /> N <br /> ED a Prnji Contact{Name)�(.t�'l �� -�•���` �L a <br /> (0 Signature_ <br /> U a to Qt[ {Phonol _ 2_�.j — L 2. = � z <br /> Analyses To Be Performed <br /> � m <br /> u W W <br /> 11 a <br /> C y�N -X , <br /> w R N W r-O 1 <br /> .G o <br /> C Q U 'yr O O a m tp m t0 Om <br /> it 'R II 14 G � - m� ��❑ a �, r ' r w <br /> y C Q U I N Q ¢2 # m Q <br /> E O O y d m tL a �\ N\ <br /> C W O G C O O W.0 f/7 <br /> E II u m 39p11i� <br /> O jE� 7m❑W <br /> Remarks <br /> °E E E _E S . 5 <br /> u <br /> rn r <br /> s <br /> a n ¢u[ :to <br /> -- Time <br /> Si na[ure Organization <br /> Dat <br /> e/Time <br /> Turn Around <br /> S E r <br /> 'oto Received 1{ 9 ..rrdE Cltoic� <br /> i � i n <br /> Dalt/Tr l <br /> Re nrµl shw rt a f Organizal <br /> x4 Nrc-J <br /> I O ' re <br /> �r Da <br /> to/Tut <br /> tsar n <br /> ':au° <br /> '3 <br /> Or am <br /> Lys re 9 <br /> k SI nett its <br /> u�. rose Received 8Y{ g j <br /> Ot aniaauun Dole/Time <br /> Slehnqursl w+l By(Sigu;nuru) -I 9 <br /> 5 Days <br /> Date/Tin lq 10 Odys <br /> Rc hnqunlu+d Ry{Signauqui Organi<atinn Date/Time Recuiv lIllFor Laboratory�B {Signyluref ��� ��/ 2 Sr <br /> i <br /> J <br />
The URL can be used to link to this page
Your browser does not support the video tag.