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COMPLIANCE INFO_2023 DOMESTIC WELL SAMPLING - 6701 JACKTONE 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 - 6701 JACKTONE ROAD
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Entry Properties
Last modified
4/8/2024 10:25:03 AM
Creation date
4/8/2024 10:16:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023 DOMESTIC WELL SAMPLING - 6701 JACKTONE 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
Tags
EHD - Public
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1-0-2719 Analytical <br /> } ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2318019 Page 2 of 2 <br /> PACEANA1 Y PICAS C{11I REA <br /> CE1Pr FORM Page 1 <br /> SU ission#1 FRED UID <br /> HiPPIKO INFORMATION SHIP�IfigG CONTAItJER YES ND n <br /> Ped Ex ❑ LIPS D GSO 1 SLS 0 Hand 001Very D Jce chest ff' Dlono ❑ Sox L] { S <br /> PaeeLIPleld56rwlae � 0i1ier134SpeaiFyl� �tlser D(speoliyl�.. <br /> Refr1 giant: !tG 15JU IGo b (done Q Other C] ComTrieots: <br /> Custody Sols Ice Ghest 4 roritainers D H"e Commerlks: <br /> In 'Z vQS Na❑ Inlecr7 Y s n 146 <br /> nGOe7 Vas too E] <br /> All sarnPs�mord vet? Yos N Na0 All FT3plae eonrsiners klimcL4 ye No El <br /> atSerlPllorlle}male <br /> coo Recelvoll <br /> Fmr8614y: COolalner' 41 [ Thll,-�rygq aOr1a: <br /> '� pglgtFlrne.� • <br /> DYES 0 N4 Tero �raurc Alac ARaGxsill�ll_ <br /> SAkI KurnaERS <br /> SAUF'LEC07tFNNEld5 1 x ` 5 � o- i r a } 78 <br /> Fd E'HES <br /> 4�e�Cca r l6ae PF U111"11 <br /> ioa <br /> RC CHS AL. la <br /> rN Til' llEklrr+'L 4et BexF[d6x <br /> - <br /> FT 11'ROG6 <br /> Pr7 CAL 66 <br /> .NETI4LTErN 13� <br /> FT ALOR 141.TFPUW <br /> pT F.M171 O0.' hEMhMO —_. <br /> P <br /> y}iyr AVL Y -9L.dNv <br /> nw+vo,[ <br /> RPA 1 <br /> aan <br /> RA S[O4A�1 'AL <br /> R161J2 AI. . <br /> �p mIwOA VrhG�� <br /> FJ' SAN el <br /> gl'rFtt ils,kta�sih I - -. <br /> TEP 1 <br /> A52 T1tA1' BLATI ' <br /> } <br /> A SI <br /> 49d S}l. I <br /> E.k EFA 548.1 <br /> A i{3T <br /> TF.FA <br /> PA 3 <br /> due! -1 WISIL <br /> 8-1 EG IM R <br /> I L SLEI[1'F• <br /> Y}hL <br /> PLASTIC G <br /> LAR IGS <br /> FL" <br /> FNCffR2 ._ <br /> SMARr L�Ir <br /> �W.ixih Chsu161'&R <br /> C9EttlttiGOkL ).}$I9Mrlp'_ Rw'Li 9R2L <br /> Sample HL1;W 4rlh0 C6rnpleEed li} R a.pNo�hied.N r par#�Wwn�IdPet o acl <br /> A-AC[Ual 1 CF 9^glreclud <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: 1001458536 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 12 <br />
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