My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0010317
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
S
>
SHAW
>
1500
>
3500 - Local Oversight Program
>
PR0545688
>
ARCHIVED REPORTS_XR0010317
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/21/2020 3:23:18 PM
Creation date
5/21/2020 10:25:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010317
RECORD_ID
PR0545688
PE
3528
FACILITY_ID
FA0003634
FACILITY_NAME
CANTEEN CORPORATION
STREET_NUMBER
1500
Direction
N
STREET_NAME
SHAW
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14326008
CURRENT_STATUS
02
SITE_LOCATION
1500 N SHAW RD
P_LOCATION
99
P_DISTRICT
002
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.
/
76
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
SAMPLE CHAIN O tUSTODY RECORD �-- <br /> DEL-TECH GEOTECHNICAL SUPPORT (PLEASE PRINT) Lab. Analysis by <br /> 10624 OLIVE AVE OAKDALE, CALIFORNIA 95361 LAR INVOICE TO <br /> OFFICE (209) 847-8757 - <br /> FAX (209) 847-7744 RECORD OF PH # <br /> r <br /> CLIENT / CONSULTANT: � 1''l'I ' �I f'S� PO #/ INVOICE# <br /> SITE SAMPLE MAP <br /> ANALYSIS REQUESTED lxoT Tv[e,+rl <br /> PROJECT/SITE NAME C '')� �rL, P T(+� ��L (ITEM17EDAND CHECKED REIDW) (NORTH) <br /> U) c <br /> cv <br /> Qw <br /> {{ f o mQ U < g <br /> Lo <br /> STREET I 5 a rl� CITY I STATE 1 o LD p <br /> OLu <br /> d w O w <br /> SHIP cn <br /> VIA Sy. s ¢= a M <br /> c —i o Z m u C!J <br /> SAMPLE (PRINTED SIGNATURE) WAYBILL -��+� CDwj co LD LD < <br /> J J <br /> NUMBER T5 PEW <br /> c� p z� U.1 o a w <br /> SAMPLE LOCATION DATE TIME SAMPLE <br /> (1DENTlFlG t1DN) MTHJDAVER HO(ilt/M!N �ATAIAERs uPos ) AfATRIX a 0. m CC) REMARKS/* SPECIAL 1NSTRUCTIOA'S BELOW <br /> co co <br /> I <br /> 4) � <br /> 6 <br /> 7} <br /> 8) <br /> 9) <br /> l0 <br /> ' l I \�I ., ••SIMPLE INTECR1T)/COADITIOh 6 TURN4ROUND TIME •' <br /> RFCLI%ED COLD 6 INTACT f 1F% -,D <br /> ATEf TINS E-t � RECEi�ED Hl si,..ruM[ ATE!TIME PRFSFRt AT3N ES USED ` J <br /> CUSTAODN SFI S IWACT/�E� NO \O )A <br /> AIR 13LRRLFtINN0A 4 f NES Hyl) INE M <br /> RELINQUISHED HN m +.Turf )ATE f TI NIL RE(Lll FD R1 Tlf--K ATE/TI\IL <br /> TURK ARRL SD T14E Cf1ECA USF <br /> RLI Ivu1 ISIIFI)RN al ...,wt )ATLI 11MIr LLFII7F11 B) 14BOR 1T ,T, l...Y4,.,,,, )ATF 1 TIMF aF Hui R { ) - HqN � } f0 PAN <br /> DOTE LABORATORI SAMPLE ARCHIVI\G WILL BE 30 DAYS FROM THE DATE:S kNII'I.E WAS COI I ECTED,UNLESS OTHER ?1RRA1\GENIE\TS NRL 1IADL <br /> PLE4SE RETURUN DEL TECH'S ICE CHEST AND BLUE ICE AS SOON AS POSSIBI E THAM. 1 OL DFL TECH FORS C O C <br /> - r- , , 1 11 , I I I ( I l \ 11 , U t,l 1 r I of „ilh R ulll <br />
The URL can be used to link to this page
Your browser does not support the video tag.