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ARCHIVED REPORTS_2015
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4400 - Solid Waste Program
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PR0440005
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ARCHIVED REPORTS_2015
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Entry Properties
Last modified
7/18/2020 3:50:56 PM
Creation date
7/3/2020 10:58:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2015
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_2015.tif
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EHD - Public
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Environmental Testing Labonetory Since 1949 <br />E;nainotc;ustodyanti c;ooierKoceiptForm tori53i-r4z Fag! zotz <br />E <br />E <br />0 <br />Tire results in this report apply to the samples anaf7eaf in awordwwe with the chain ofewtody document. 77us analytical report must be reproakwed in its entirety. <br />All results listed inthis report are for the exdusive use of the submitting party. RC Laboratories, Ism assumes no responsibility for report alteration, sepustion, detachment or third party interpretation. <br />Report ID: 1000428321 4100 Atlas Court Bakersfield, CA 93308 (661) 3274911 FAX (661) 327-1918 www.bdabs.com Page 4 of 12 <br />SC LABORATOMES INC. COOLER RECEIPT FORM pa e Of <br />Submission #: 1$5 - --bk-7 L42- I <br />SHIPPING INFORMATION <br />Fed F -x 0 UPS■ Ontrac 0 Hand D611verV 0 <br />BC Lab Field Servicer, Other 0 <br />SHIP I G CONTAINER <br />ice Cl .tW N... 0 Box 0 <br />i Other 0 (Specify) <br />FREE O <br />UQUI <br />YES 0 NO E■ <br />3 <br />Refrigerant: fee IV Blue Ice 0 None 0 Other 0 Comments: <br />None comments: <br />AN samples received? YesX No (3 All samples containers intact? Y#S)( No 0 Descripthfits) match COW Yes No 0 <br />COC Received I' <br />YFq 0 NO <br />EWssivitV: -7 c...i.... Pe� Thermometer ID: <br />TeWerature: *c I I C <br />E <br />0V V <br />E <br />E <br />0 <br />Tire results in this report apply to the samples anaf7eaf in awordwwe with the chain ofewtody document. 77us analytical report must be reproakwed in its entirety. <br />All results listed inthis report are for the exdusive use of the submitting party. RC Laboratories, Ism assumes no responsibility for report alteration, sepustion, detachment or third party interpretation. <br />Report ID: 1000428321 4100 Atlas Court Bakersfield, CA 93308 (661) 3274911 FAX (661) 327-1918 www.bdabs.com Page 4 of 12 <br />
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