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ARCHIVED REPORTS_2009_23
EnvironmentalHealth
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4400 - Solid Waste Program
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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 I of I <br />Chain of Custody Record <br />IDute/Time <br />Shipping Retails <br />A1"IN <br />COC Number A PPL -011` 5 <br />Sampled by <br />e ". <br />t, F a hr r a <br />Meth of Shipment FED EX <br />Project Name Forward Lit GTF <br />Project Number 367254.01.01.01 <br />Relinquished by <br />Friday, Feht•urtn, 27, 20079 <br />e T <br />Project Location Manteca, GA <br />Project Manager Jeremy Higgins <br />Turnaround Time 21 <br />clays <br />"1H INAi TILL <br />Task Order <br />Sample Manager Kurt Lind <br />QC Level 2 <br />Lab I# ,APPL Lab 2# <br />Project Forward Landfill GTF-Feh200 <br />(209) 277-7415 <br />Lab Phone (559) 275-2175 <br />For Lab Use <br />Sample Date/Time <br />Field ID Type Matrix # Containers analysis Requested <br />Field Filtered Remarks <br />Labl Lab 2 <br />27-Feh-()9 <br />GW-TF-FF1,.-02(t9 N GROUNDWATE <br />R <br />3 <br />SW8260B <br />VOAs (Ilse Table V analyte list in <br />Parchase Order 925913. Do not analxre <br />J'or Ethanol, Tertiary But 'Yi Alcohol, or <br />Nexachtoroethane). Rinse instrument <br />prior to analYsi,T. <br />Total Containers 3 <br />27-Feb4)9 <br />TN -531 TR WATLR <br />1 <br />SW82608 <br />Trip Blank - VOAs t'Use Table V analyte <br />list in Purchase Order 92591.1. leo not <br />analy:r,jnr Ethanol, Tertiary Ban°t <br />Aleohol, or Hexachloroethane) <br />Total Containers I <br />M M � r M M � M M M � � r M M M M M M <br />Signatures <br />IDute/Time <br />Shipping Retails <br />A1"IN <br />Special Instructions <br />Sampled by <br />e ". <br />t, F a hr r a <br />Meth of Shipment FED EX <br />Relinquished by <br />oU-i=' L - <br />e T <br />Alrbill No. " i �. <br />Sample Custody <br />Report Copy to <br />Received by <br />Lab Name nPPt <br />and <br />Jcremy lfiggins/RDD <br />Relinquished by <br />Lab Phone (559) 275-2175 <br />Leonard Fong <br />(530) 229-3366 <br />Received b -y✓` <br />3�D �7 11�t3 <br />M M � r M M � M M M � � r M M M M M M <br />
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