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 /> V� <br /> Chain-of-Custody Record <br /> W Chevron Facili'y tlumbpr � Chevron Conlact(Name) <br /> LO Consultant p Consultant <br /> C Release Number Z-(J( S fy n O hr^Z J 0-`f (Phone) <br /> rn Project.Number <br /> Q d U N �S .UO'L3L� Laborato[yName�L4 .FN,- LASS <br /> _ <br /> Cansultom Namo <br /> � tC) O W Address (32G E S"4>j) � �(G ` FCCS`i-� Contract Number <br /> O p m Fax Number �'] �ZZ } 3� C�3 t'D Samples Collected by(Name) V'2Y^,`'( Ir 1 C,p/ii <br /> > CO tr : VCL ."i C--t P t/.� C7 - L - �/ <br /> C m Project Contact(flame} <br /> Collection Date <br /> U n::tn LL (Phone) ZZ " } �� --- Signature <br /> w Anal sos To Be Performed <br /> o to d d IST rXL` GG <br /> ' C ¢U - 117 ur d �C) �N <br /> u <br /> .� JI 11 O 0 <br /> O DC! m w m t:7 <br /> A N w ^¢ U n a z Coa y!� m m (fes xCC� o r�c �F< <br /> y a v _ �° p` w o e o r c o p o D by C Vf 'M L7 lv c�. - <br /> -m E d xd,s .... °Y ma1N mmw ]O ]N m7 T I ICL <br /> n 'i z a V�-11 �... m n `-d ro 4 m O m m <br /> a E n n E E v m l7 n t7 rr E .. E .. vl m «? /V <br /> rj o o= $ <br /> 1 i i.] r? f= vJ ° (° w ►° R m W <br /> MW.a.rr _1 5 G 6130 ac ti fiA <br /> u D13- -NMt.c�.r r; f 5 (1 1 b,o ✓ _ Ic cm <br /> l <br /> Reli stied 81-{Sial Ire) Organiralion :".fl <br /> e/Time Received By(Signalure) Organization Dale/Tin1e SLC um Al 01111d Time <br /> �«ef s �it).t - 10 (? _/ r-��'-rC ,�/ Qircle Choiccl <br /> R ircluished By Si inell Org tratio MI. /Thne iv d 8 ) aniralien Da a/Tlmc 24 Nrs <br /> R n uixll ! - 1U. L�y— Or talY of ��UQ 48 F,rS <br /> fY 9 1� I LI iac/TrmS I Rcc�rtv5d For Lt,Go�.}tory By�Siggaturc► I]atu/Tm,r. Days <br /> n r,.... <br />
The URL can be used to link to this page
Your browser does not support the video tag.