My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0007549
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
T
>
TURNER
>
2420
>
3500 - Local Oversight Program
>
PR0545769
>
ARCHIVED REPORTS_XR0007549
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/8/2020 10:32:12 PM
Creation date
6/9/2020 11:49:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007549
RECORD_ID
PR0545769
PE
3528
FACILITY_ID
FA0004139
FACILITY_NAME
Plaza liquor and Gas
STREET_NUMBER
2420
Direction
W
STREET_NAME
TURNER
STREET_TYPE
RD
City
LODI
Zip
95242
CURRENT_STATUS
02
SITE_LOCATION
2420 W TURNER RD
P_LOCATION
02
P_DISTRICT
004
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.
/
72
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
� � � � r � � I• l• � � tl• ■■■� �■■� �fiiiiw <br /> � Advanced <br /> Is CHAIN OF CUSTODOECORD <br /> GeoEnvironmental, Inc. ©ate D� Page --i` of L.? <br /> 837 Shaw Road - Stockton, California- 95215 - (209)467-1006 - Fax(209) 467-1118 d w <) <br /> ClientProject Manager <br /> Ui v4 [[ Tests Required <br /> 0.n k c, 1 Nom ' <br /> Phone Number <br /> A �� v <br /> �ln 10 c,.- T0(.v -7 -1 DC7 Samplers (Signature) Invoice <br /> h <br /> AGE <br /> Project Name L; i S iG �� Client ❑ <br /> Sample Type <br /> Sample Location Date Time Solid Nates <br /> No of ` <br /> Number Description Water Air Conts � fl��" <br /> Comp Grab '✓ <br /> kvS,4s <br /> M\.N 151 *AZ )ct <br /> WVJ zS 1040 x <br /> vnw Cu- 35 1011LOZ //190 <br /> AVJ e 4 a' lll3 <br /> VWW Ili Jr, I <br /> e inquis a ignature eceive y ignature D tefrim717DO Of I <br /> Relinquished b (Signature) Received by (Signature) .t Date1T e <br /> Reiinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date(Tima <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Y Datef ime <br /> (a t_-, <br /> Method of Shipment Laboratory Name <br /> Special Instructions I ereby authorize the performance of the above indicated work <br /> J <br />
The URL can be used to link to this page
Your browser does not support the video tag.