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ARCHIVED REPORTS_2006_12
Environmental Health - Public
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4400 - Solid Waste Program
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ARCHIVED REPORTS_2006_12
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Entry Properties
Last modified
7/18/2020 2:43:08 AM
Creation date
7/3/2020 10:51:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2006_12
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_2006_12.tif
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EHD - Public
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= = M M M M M M M <br />Page I of I <br />T <br />Chain of Custody Record <br />COC Number APPL-0144 <br />Relinquished by <br />Received by <br />Project Nam Forward LF GTF <br />Project Number <br />187857.06.01.01 <br />Sunday, February 19, 2006 <br />Pro <br />Project Location Manteca, CA <br />Project Manager <br />John Burke Turnaround Time 7 <br />days <br />C142MHILL <br />Task Order <br />Sample Manager <br />Chris Green QC Level 2 <br />Lab I # APPL Lab 2 # <br />Project Forward Landfill GTF-Mar200 <br />(916) 801-3762 <br />For Lab Use <br />Sample Date/Time <br />Field ID Type <br />Matrix # Containers Analysis Requested <br />Field Filtered Remarks <br />Labl Lab 2 <br />GV*TF-EFL-0306 N <br />GROUNDWATE <br />R <br />102oc <br />3 SW8260B <br />❑ VOAs (Use Table V analyte list in <br />Purchase Order 912781. Do not analyze <br />for Ethanol, Tertiary Butyl Alcohol, or <br />Hexachloroethane). Rinse instrument <br />prior to analysis. <br />0 i—Mer-46 <br />3-A"&-016 -1 <br />/0 ;10 0 <br />elf -XI <br />Sampled by <br />Relinquished by <br />Received by <br />Relinquished by <br />Received by <br />Total Containers 3 <br />TB -494 TB GROUNDWATE <br />R <br />I SW8260B El Trip Blank - VOAs (Use Table V analyte <br />list in Purchase Order 912781. Do not <br />analyze for Ethanol, Tertiary Butyl <br />Alcohol, or He-xachloroethane) <br />Total Containers I <br />Date/Time <br />3-2-40& /10-100 <br />3-2-0& 12"VJ <br />Shipping Details <br />lethod of Shipment FED EX <br />irbill No. <br />ab Name APPL <br />ab Phone (559) 275-2175 <br />ATTN: Special Instructions <br />Sample Custody Report Copy to <br />and John Burke/RDD <br />Leonard Fong (530) 229-3428 <br />
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