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ARCHIVED REPORTS_2017_4
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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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�J <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Form for 1717157 Patae 2 of 2 <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 party interpretation. <br />Report ID: 1000620627 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />SHIPPING INFORMATION <br />Fed Ex ■ ■ • •> ■ <br />Be Lab Field Service IN Other ■ <br />CONTAINER <br />c. ■ Box • <br />( Other ■ <br />I' <br />n • . <br />YES ■ No ■ <br />Refrigerant: Ice 6 ■ None ■ <br />Other ■ <br />cBlue <br />Custody SealsN. , ■. <br />n 6 f1 <br />9 <br />1- 9 Y <br />iA <br />!All samples recelved? Yesp NoO AN samples containers Intaut? Yes No 0 Deserhydon(s) mstc� cocz Yes 0 <br />COC Recelv.d Emiqdvity: 1-75 <br />I@ YES ■ NO <br />Container. Thennometer ID: <br />i <br />saaarsaaaaise■! <br />1 • ' w:1;A 1. . �. �-_-_�a7�!„?+�-�t!!!!S■iC <br />i'Y�.31!':■Y7 �:�1 <br />my MAN 2 9 10 <br />01411"� Now <br />►� T <br />n, F�'71L71■c+fill.• <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 party interpretation. <br />Report ID: 1000620627 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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