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ARCHIVED REPORTS_2011_15
EnvironmentalHealth
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4400 - Solid Waste Program
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ARCHIVED REPORTS_2011_15
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Entry Properties
Last modified
7/17/2020 8:33:06 PM
Creation date
7/3/2020 10:55:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2011_15
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_15.tif
Tags
EHD - Public
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Laboratories, Inc. I <br />Environmental Testing Laboratory Since 1949 <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 party BC Laboratories, Inc. assumes no responsibility for report alteration separation, detachment or third party interpretation <br />4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 23 <br />BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev. No. 12 aw2vo8 Pee Of <br />Submission #: 1 k—1 alt $l <br />SHIPPING INFORMATION SHIPPING CONTAINER <br />Federal Express ❑ UPS ❑ Hand Delivery O ice Chest' None ❑ <br />BC Lab Field Service 9F Other ❑ (Specify) Box ❑ Other ❑ (Specify) <br />Refrl Brant: Ice Blue Ice ❑ None ❑ Other ❑ Comments: <br />Custody Seals <br />1'1 '7] <br />1 <br />ba [16, <br />o_ <br />NoneComments: <br />All samples received? Yes,69 No ❑ All samples containers Intact? Yes Na ❑ Description(s) match COC? Y No ❑ <br />COC Received Emissivity: 0 S Container: Qkj=L Thermometer ID: 17-7 Date/Time lo$ -1\ 1t, <br />E3 PIC) <br />jPfES <br />Temperature: A o °C / C °C Analyst InitAQUY <br />AAMP <br />SAMPLE CONTAINERS 1 2 3 q 5 8 7 8 8 10 <br />T GENERAL MINERAU GENERAL PHYSICAL <br />PT PE UNPRESERVED <br />T INORGANIC CHEAUM METALS <br />PT INORGANIC bums <br />PT CYANIDE <br />PT NITROGEN FORMS <br />PT TOTAL SULFIDE <br />2 NITRATE / NITRITE <br />PT TOTAL ORGANIC CARBON <br />PT TOX <br />FIT CHEMICAL OXYGEN DEMAND <br />PtA MOLICS <br />40ml VOA VIAL TRAVEL BLANK <br />40m) VOA VIAL 1 1 1 1 1 I ) ! J ! ) ( ) ( 1 1 <br />T VA 413.1,4132,418.1 <br />PT ODOR <br />RADIOLQPJM <br />&&=OLOGICAL <br />40 nd VOA VLU, 504 <br />OT A 50810MO <br />T EPA 515.1/8150 <br />EPA 525 <br />T EPA 525 TRAVEL BLANK <br />100ndEPA 547 <br />100mt EPA 531.1 <br />21 EPA 548 <br />T EPA 549 <br />OT EPA 632 <br />T EPA 8015M <br />T AMBER <br />S OZ. JAR <br />32 OZ. JAR <br />SOILSLEEVE <br />FCB VIAL <br />-11:RR U IRON <br />ENCORE <br />Comments: <br />Sample Numbering Completed By: Daterrime: — ; t o0 <br />A = Actual / C = Corrected IN:{DOCS%WPBMAa_DOCSWORMS%SAMREC2.WPDI q9 <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 party BC Laboratories, Inc. assumes no responsibility for report alteration separation, detachment or third party interpretation <br />4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 23 <br />
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