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ARCHIVED REPORTS_2009_23
EnvironmentalHealth
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ARCHIVED REPORTS_2009_23
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Entry Properties
Last modified
7/17/2020 3:53:34 PM
Creation date
7/3/2020 10:55:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2009_23
RECORD_ID
PR0440005
PE
4433
FACILITY_ID
FA0004516
FACILITY_NAME
FORWARD DISPOSAL SITE
STREET_NUMBER
9999
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20106001-3, 5
CURRENT_STATUS
01
SITE_LOCATION
9999 AUSTIN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\SW\SW_4433_PR0440005_9999 AUSTIN_2009_23.tif
Tags
EHD - Public
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Page 1 ,(j 1 Clain of Custody Record <br />COC NumberAPPL-0184 <br />Project name Forward LF GTFi Project Number 367254.01.01.01 Wednesday, February 18, 2009 <br />Project Location Manteca, CA Project Manager Jeremy Higgins Turnaround Time 21 days '4,2P0H I. <br />Task Order Sample Manager Kurt Lind QC Level 2 Lab F # APPL Lab 2 # <br />Project Forward Landfill GTP'-IQ2(X)9 (209) 277-7415 For Lab Use <br />Sample Date/Time Field FID Type Matrix # Containers Analysis Requested Field Filtered Remarks Labl Lab 2 <br />18 -Feb -09 (;%V-rF•FF,1vI,_Q]09 Poi GROUAID14 M' <br />R <br />1 E'160.1 TUS <br />1 SWV-608 VUAs (Use Table V analyte list in <br />Purt-ho.re Order 925913, Do not atuii,:r <br />for Ethanol, Tertiary Butyl Alcohol, or <br />11erachloroet/tanc). Rinse instrument <br />prior to anal.ysie. <br />Total Containers 4 <br />Special Destructions <br />Report Copy to <br />Jeremy Higgins/RDD <br />( 530) 229-3366 <br />/Signatures <br />Distime <br />Shipping Details <br />ATTN: <br />Sampled by <br />� ��' � <br />, t <br />� 1�1�' �' � ' �' `i �� <br />Method of Shipment FED EX <br />Relinquished bys <br />-�3:"�� �I <br />Airbill No, <br />� Sample Custody <br />Received by <br />� <br />F <br />Lab Name APPT. <br />and <br />Relinquished by <br />Lab Phone (559) 275-2175 <br />Leonard Fong <br />Received by <br />�`'��� -^- <br />2 �t��� gov <br />Special Destructions <br />Report Copy to <br />Jeremy Higgins/RDD <br />( 530) 229-3366 <br />
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