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ARCHIVED REPORTS_2011_13
EnvironmentalHealth
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4400 - Solid Waste Program
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ARCHIVED REPORTS_2011_13
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Entry Properties
Last modified
7/17/2020 8:29:56 PM
Creation date
7/3/2020 10:55:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2011_13
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_2011_13.tif
Tags
EHD - Public
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i <br /> �. orat®ries Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Forth for 1106581 Page 2 of 2 <br /> -fi LADOk fonlFS arse AS916�E RECEIPT i T CiF3ts8 sr. �s ire a c'0 € <br /> �x;'IIPPIN(3 INFURMA,TIO SHIPPING CCIfJ 9bl ER <br /> LaExpress iUPS t4IR .er,t f <br /> Rr Lab Sahl Saru'�s a sper <br /> Box 171 £)rtier C'4e6 ) .. <br /> -- w <br /> fftefti a�raarat loo` E3ts�a lie�.1 t�usr��a Cltr r! CaarnraIeOt,.w. ..,��.....�.�...., ,�..,,,�,..,.-... <br /> ,Custody ealsglc It'bt C' Containers I � tl�ara�1yc�lrraa�en# <br /> usa <br /> Al f,,Antpta s 3eceived? { No G ��s r a4�cC3rit�33aso s etaet� ye Won V� s�sigt%rm9�l each G ' V��[a . <br /> C FRece ved EmsSmuy: .,.,„ `c3ai3nsn't _ `fSseaan4 i�ar 4�: : £Ia ss�lTlrme "„ <br /> YES 0 NO A <br /> ,$.AWRi:Lt9P8Y A,YlCB r <br /> <---^--= a <br /> X712 . L PAUGE,Wf�rSCal. ...............� ,.�..-._ ...,.n.. <br /> 'nod.b4T7,31:s <br /> ry 11409M a' 14 l l0r€ <br /> VAMUt <br /> rt C.4f,a31 AL <br /> RAMML <br /> sus fry§i�.a�l b P <br /> Y IIIA ia3 _ w <br /> env 14»srO <br /> e z � <br /> .—.•, t?q Sq. 3sf���u.P!„Y.XC�:'#",Y��t az Sa'sY?:+,.3,:t.-C',,t <br /> k w;CCBuaP + f;= .E3tr¢e4�r4 <br /> The results in this report apply to the samples analyzed in accordance with the chain of custody document.This analytical report must be reproduced in its entirety. <br /> All results listed in this report are for the exclusive use of the submitting parry. BC Laboratories,Inc.assumes no responsibility for report alteration,separation,detachment or third parry interpretation. <br /> 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 4 of 12 <br />
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