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ARCHIVED REPORTS_2017_8
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ARCHIVED REPORTS_2017_8
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Entry Properties
Last modified
7/17/2020 3:53:50 PM
Creation date
7/3/2020 10:59:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2017_8
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_8.tif
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EHD - Public
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C7 <br />Laboratories Inc. I <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Form for 1719235 Page 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 party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. <br />Report ID: 1000630727 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 16 <br />BC LABORATORIES INC. <br />COOLER R GEIPT FORM <br />Pae <br />Of <br />Submission #• � <br />SHIPPING INFORMATION <br />Fed Ex D UPS D Otrtrac ❑ Hand Delivery 0. <br />BC Lab Field Service K Other D (Specify) <br />SHIPPING CONTAINER <br />Ice Chest? <br />hest jpei(\` None D Box D <br />Other (Specify) <br />FREE LIQUID <br />Y NO ❑ <br />� $ <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 />Report ID: 1000630727 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 16 <br />BC LABORATORIES INC. <br />COOLER R GEIPT FORM <br />Pae <br />Of <br />Submission #• � <br />SHIPPING INFORMATION <br />Fed Ex D UPS D Otrtrac ❑ Hand Delivery 0. <br />BC Lab Field Service K Other D (Specify) <br />SHIPPING CONTAINER <br />Ice Chest? <br />hest jpei(\` None D Box D <br />Other (Specify) <br />FREE LIQUID <br />Y NO ❑ <br />� $ <br />Refrigerant: ice Blue Ice ❑ None ❑ <br />Other ❑ Comments: <br />Custody Seals <br />•��' int-'���r <br />,#i�Tit�ti�ers:f�l•: <br />None � Comments: <br />.a <br />. ■ . <br />■ <br />CDC Received <br />YES <br />�k■ • <br />)k <br />i� <br />• 'i aaa_ <br />iea_ �saaa <br />_ <br />_ <br />• I ♦ ' mss: •i:�l _ :.1:' ____�_--_-� <br />.. 1 • • r <br />11 <br />• :�i r�.--�-_-_--_i. <br />i <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 />Report ID: 1000630727 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 16 <br />
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