My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0009937
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
S
>
SCOTTS
>
433
>
3500 - Local Oversight Program
>
PR0545678
>
ARCHIVED REPORTS_XR0009937
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/20/2020 11:44:05 AM
Creation date
5/20/2020 11:34:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009937
RECORD_ID
PR0545678
PE
3528
FACILITY_ID
FA0005843
FACILITY_NAME
MASONITE CORPORATION
STREET_NUMBER
433
Direction
W
STREET_NAME
SCOTTS
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
APN
14704044
CURRENT_STATUS
02
SITE_LOCATION
433 W SCOTTS AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
88
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
ff� fi• f• ! ! ! ! ! ! 1• ! ! ! ! ! ! ! ! l• <br /> � Advanced <br /> CHAIN OF CUSTOOSECORD <br /> _-=- GeoEnvironmental, Inc. Date '��z -05- Paye --�L` of <br /> 837 Shaw Road- Stockton,California-95215-(209)467-1006- Fax(209)467-1118 <br /> ClientPrgect Manager ��a � ( <br /> orti ,� I� Tests Required <br /> K"SE kki�A� V�- Phone Number <br /> Samplers (Signature) 4 9 Invoice. <br /> Q� AGE <br /> Project Name v Dr Client ❑ <br /> 1 <br /> f <br /> Sample Location Solid No of Notes <br /> Number Description Date Time Sample Type Weser Air Conts , <br /> Comp Grab <br /> (XVJS-S- ota4i-04S 0 5` <br /> 10 <br /> Ills <br /> -20 f t Z6 Zt7 CJi <br /> C Z5 <br /> MW 5--3D tt 36 X <br /> 3S'� tc �sl. I `r45 x X <br /> e inqure y ( ignature) Receivedy (Signature) Date(Time <br /> rnqurshed by (Si re) Received by (Signature) <br /> Date/Tlme <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analym (Signature) Date/Time <br /> Dispatched by (Signature) Date(rrme Received lot Laboratory by 1. Dat <br /> i C vo r" 7— 17V/7 <br /> Method of Shipment Laboratory Nam "e4 <br /> „y” <br /> l/�_(1 I <br /> Special Instructions t w_`` I hereby authorize the performance of the above Indicated work <br />
The URL can be used to link to this page
Your browser does not support the video tag.