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COMPLIANCE INFO_2023 DOMESTIC WELL SAMPLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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A
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AUSTIN
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9999
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4400 - Solid Waste Program
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PR0440005
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COMPLIANCE INFO_2023 DOMESTIC WELL SAMPLING
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Entry Properties
Last modified
11/14/2023 4:26:31 AM
Creation date
11/13/2023 2:13:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023 DOMESTIC WELL SAMPLING
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
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SJGOV\cfield
Tags
EHD - Public
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�19A nalytical <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2318008 Page 2 of 2 <br /> pAci:AHALYTICAL COOLER RECE=IPT FORM Pae of <br /> Sub [scion#: 1goog <br /> SHIE'E'I[dtzINF❑RI�1AT[GN sHIPPIN. GOWTAIN15R FR�E�CAU91 <br /> G' <br /> UPS❑ USO f OLE 13Hand Dehvel+} f} los Cllaat None ❑ gax ❑ YE3 fJU Q <br /> Fod Ex <br /> Pace Wb Pleld cervico l Other❑(SpeclfY) Olklar U <br /> Rofri±� r$llt IcEI sloe Ic613 F1onc otharl❑ Comments: <br /> GusG3C[y SeEtl [cDChestl7 �CDot,ltlevs❑ None cofnmonts: <br /> btaot7 Yn F..1 No D lifYm 0 �!q E3 <br /> Oasc Ions metoh C-DC7 Y43% No 0 <br /> AA tempters moeiva+l7 Vex N00 ,qll semp04S tontafnera War'? Yex No❑ � {} <br /> 1 G Recalved Emis.%MLW. a% contArwr- A�Q4 _ ThrunT-nly 13); l— GeLtpfflme 4 S�`� <br /> YES O No S prrrftum: �A - *c r 1 C i - -C All llyst[Nt <br /> sIVAPLI3 NUMPERY <br /> tMjpLE GOWrA1NERS a 4 5 10 <br /> T F!F,VNINIES <br /> dottBc-YiR? r$rJNrAtS <br /> se <br /> AN 11[iMEG ETAI <br /> AN -rFMICA1. TALE Ifi- <br /> hN166 <br /> F3'EHE�JVEI <br /> EN Fi}RAiS <br /> LRIDL <br /> YEj tLTG <br /> ARUOrf <br /> GE3 Th'.ArfO <br /> .d ml WDA TRAY -eLA?W <br /> #hmL VOM1 <br /> A Id <br /> on <br /> ECA <br /> gh CI <br /> tvoAUl 9Pt <br /> of ESA sps.LMIMA <br /> 521.2 <br /> TER TRAY RLANY <br /> 41-1 W <br /> A F PA 531 <br /> oar.EsrA W1 <br /> T rilsta3 <br /> FYA Mf <br /> a210 <br /> aq <br /> 132ax DER <br /> F I l .IAA <br /> [.61: <br /> PCR <br /> r C <br /> reol kEIA d <br /> U41CC E <br /> sn,.tt«ti mr _ <br /> SUMMA CANIS EA <br /> Comrnu*rt : Z}atPriflrrC" 'ler POWM12 <br /> ;.erne%i4urnhQrCDrFIP1 Md BY <br /> A-Aoual 1 C e fierr9{tod Isfinppera+����Mruw,00csudumr+unc,c�aacl <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. Pace Analytical assumes no responsibility for report alteration,separation,detachment or third party interpretation. <br /> Report ID: 1001457960 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 15 <br />
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