My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0012653
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
W
>
WATERLOO
>
2537
>
3500 - Local Oversight Program
>
PR0545857
>
ARCHIVED REPORTS_XR0012653
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/12/2020 10:21:20 PM
Creation date
7/15/2020 2:47:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012653
RECORD_ID
PR0545857
PE
3528
FACILITY_ID
FA0005147
FACILITY_NAME
E-Z FOOD
STREET_NUMBER
2537
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
11914035
CURRENT_STATUS
02
SITE_LOCATION
2537 WATERLOO RD
P_LOCATION
99
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.
/
87
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 /> 4 <br /> i <br /> NAC14AW CHAIN OF CUSTODY RECORD <br /> p <br /> ENVIRONMENTAL <br /> INC. <br /> •: o9/19 � sty <br /> DATE � �1 PAGE_ OF <br /> C _-- _Z <br /> LIENT �lA KFIv MARK PARAMETERS --- - "i <br /> ADDRESS W T�- t `+,4p OTH`cR tn7r-N <br /> _ <br /> it z <br /> Cy <br /> PROJECT ; L:y y) 0 <br /> SAMPLERS! (SIGNATURE) �� `:, o <br /> "WLE NO DATE LIME LOCATION <br /> 7sa� _ I 4 I 9 <br /> _T17-0 <br /> cl <br /> fi <br /> 7.Ze 6 <br /> Wit:K B' v J^ I 7cd kES <br /> .1 <br /> w <br /> Z is TZ. <br /> ' E <br /> RELINCUISHED BY DATE REL; <br /> NQUISHED BY DATE RELINQUISHED BY <br /> DAiE REUN©DISHED BY DATE sul LN MEjvu Ur• -' <br /> gn sure CONTAIN RS 1 <br /> S>anawie sionolureMETHOD OF SHIPMENT <br /> gnalure D <br /> TIME: TIME CCA� <br /> Primed Nome Pr'nled Name TIME f6Y1E SPECIAL SHIPNENT/HANDUNG { <br /> Prinlea Name Printed Name .� <br /> ComponOR STORAGE REQUIREMENTS <br /> l..OmD0r1Y L-amoany I <br /> R IV.ED Y l omoanv IVc�2 A� i,i% <br /> D!T� RECEIVED BY DATE RECENED BY DATE RECEIVED BY DATE i <br /> gnawler{��D �1C1V t <br /> 5gnot6e Signofure Signature <br /> �U'�� TIME <br /> Primed Nome Printed Nome TGUE TIME <br /> PEinled t4(, TIME QS''l5 <br /> ! I]Gc) P inled Name TIME <br /> 0ttc,ny j CDmaanV J Lt�' <br /> Comoan E <br /> j Comnanv �IC.L (,L o;�l f.L•F�D <br /> i <br /> ix <br /> nR <br /> i <br />
The URL can be used to link to this page
Your browser does not support the video tag.