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ARCHIVED REPORTS_2017_4
EnvironmentalHealth
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4400 - Solid Waste Program
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ARCHIVED REPORTS_2017_4
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Entry Properties
Last modified
7/18/2020 3:00:04 PM
Creation date
7/3/2020 10:59:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2017_4
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_2017_4.tif
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EHD - Public
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E <br />E <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custodv and Cooler Receipt Form for 1717147 Paae 2 of 2 <br />INN M�Xffiwww <br />SHIPPING INFORMATION SHIPPING CONTAINER ID <br />I i FREE LIO.0 <br />Fed Ex 0 UPS 13 Ontrac 0 Hanc Delivery 0 1 Ice Cheat 9 None 0 Box [3 YES 0 NO 0 <br />BC Lob Reid Service 13[ <br />The results in this report apply to the samples analyzed in accordance with the chain ofcustody document This analytical report must be reproduced in its entirety. <br />All results fisted 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 />Report ID: 1000620497 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />• ■ (Specify L_ <br />Other 0 (Specffyl <br />W <br />Refrigerant: Ice eff Blue fee ■ None ■ <br />Other■Comments; <br />Custody Seals <br />None IN Comments: <br />iWaampleareceived? Yesp NOD AN samples cantalners intact? Yes No 0 Description(s) match COC?. rag NO 0 <br />COC Emispivity: 0, <br />Received <br />19 YES ■ NO Temperature; I A)__ <br />ccft� ThermornmrID: 2AA <br />-c c') -'s Ic <br />-fi <br />.......... <br />rAl <br />The results in this report apply to the samples analyzed in accordance with the chain ofcustody document This analytical report must be reproduced in its entirety. <br />All results fisted 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 />Report ID: 1000620497 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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