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COMPLIANCE INFO_2023 DOMESTIC WELL SAMPLING - 7210 AUSTIN ROAD
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4400 - Solid Waste Program
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2023 Domestic Well Sampling Reports
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COMPLIANCE INFO_2023 DOMESTIC WELL SAMPLING - 7210 AUSTIN ROAD
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Entry Properties
Last modified
4/8/2024 9:56:22 AM
Creation date
4/8/2024 9:53:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023 DOMESTIC WELL SAMPLING - 7210 AUSTIN ROAD
RECORD_ID
PR0440011
PE
4445
FACILITY_ID
FA0006918
FACILITY_NAME
FORWARD RESOURCE RECOVERY FACI
STREET_NUMBER
9999
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20106003
CURRENT_STATUS
01
SITE_LOCATION
9999 S AUSTIN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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1-0-2719 Analytical <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2317701 Page 2 of 2 <br /> FACE ANALYTICAL COOLER REGEIF7 FORM page. Of _ <br /> SubtnTsston#: Z3 . <br /> SHIPPINGINFORP14ATJON SH[PM(GCONTAINER FREE �1�11D <br /> F12d Ex E] LJ¢S 4 ' GS-0!GLS 0 Hand D191iMely ❑ 1"Chestd Nand O Bo-x U YE NO o <br /> pica tab Field seiYlce plhpr {SpaviFY] #he{ ❑{Spacliy} _ f <br /> R$$i9eT$nt: lee 91l]e!C0(3 —Nim-90 OtIkEr❑ CDmmenta; <br /> Cuslady Saaia Ice GheeM Consalnerp El' None[ commend: <br /> ? <br /> JrgmC Ycsd Marl QVa'?Yes La ND❑ <br /> All s;!ndplc3 reoal,rcd? Ya5 goo ,WI sdrllplas oallWlnera Intact? Yos No❑ ooasrtPlLMfs)r3IPt[11 OO G'?Y- No Q <br /> OC Recalved EFA189101y; &M Caetalnet: t4Dk .. DatsfflmuM ,tS 2� <br /> In YES ❑ NO (c L *C Analysklnl! <br /> SdUhPLE NUrABW!; <br /> SAMPLL COMMUEN <br /> # a a 6 7 >t ■r <br /> [axt�asilfae L'E1RIP1tE5 <br /> Cr` <br /> t+`CACFNCC C13EMIC LM _ <br /> INOMANIC C1P9MrCAr-)LTTTAU ii1Zf@Mj 1601 <br /> f"r YAH[I}E <br /> 1"T NrrNUG]4N FORMS <br /> FT7 I.HlOF <br /> i .rvrFIt TE1NrrPj <br /> M7SYrAL OkG t+2EC CARFOa'1 <br /> VJ'CNShiGCA4 rtRF+EANO <br /> [y FNRN4L[C7F <br /> AJ VI VELU 1 <br /> aJrM—Q6 VIAL ., <br /> QT 6 i6"n <br /> Fropoft <br /> _Rh070WGtl AL _ _ .- <br /> R,4C'r6 AL <br /> Jd m[V4AYCAL- <br /> E +1 <br /> FFk SL�1Jd131i1 <br /> T 2 ULt <br /> FPA 5]5.3 TFAVE1,G N - <br /> -00`iC F7A 3�T <br /> 4&A FPA 5317"1 <br /> bar ETA MEJ <br /> T YASS�Z <br /> &FLShi <br /> TEFJLW <br /> aomJ <br /> �acr Idoe J�2em,PAIS <br /> rl. L55V5 <br /> V <br /> PLAST - <br /> rEDLAn RAG <br /> F Rr5LL5 r, 1f _ <br /> Ff4COK& <br /> SAIAJIT Ur <br /> SUM"A t4NJSTEA <br /> eamarenEs' <br /> Salnpto NrIfA1FfffAHo:CBrayleW R}': D3L*lF1noL <br /> A y acu,al l C y Corrccked �'� � ��s�.wl �.�l.aar��oaLrlemnr.�L�ux.r� <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: 1001456912 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 16 <br />
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