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ARCHIVED REPORTS_2016_3
Environmental Health - Public
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4400 - Solid Waste Program
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ARCHIVED REPORTS_2016_3
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Entry Properties
Last modified
7/17/2020 3:53:50 PM
Creation date
7/3/2020 10:59:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2016_3
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_2016_3.tif
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EHD - Public
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r <br />Ci <br />r <br />r <br />L� <br />F1 <br />I <br />f <br />L <br />Ci <br />r. <br />1-1 <br />LAItrttr�t���I <br />Enviro1949 <br />Chain of Custodv and Cooler Receiot Foran for 1633226 Paue 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: 1000551238 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />FBC LgBORgroRlEs INC. <br />Submission #: <br />COOLER RECEIPT FORM <br />Page <br />Of <br />SHIPPING INFORMATION <br />Fed Ex ❑ UPS O Ontrac ❑ Hand Delivery ❑ <br />BC Lab Field Service Other ❑ (Specify) <br />SHIPPING CONTAINER <br />Ice Chest None ❑ Box ❑ <br />Other ❑ (Specify) <br />FREE LIQUID <br />YE NO ❑ <br />S <br />Refrigerant: Ice Blue Ice ❑ None ❑ <br />Other O Cornments: <br />Custody Seals <br />Ice Ghestf7 r <br />CDnathets,p <br />None Comments: <br />All samples received? Ye4dT No ❑ All samples con iners intact? Ye No ❑ Description(s) match COC? Yesky <br />No ❑ <br />COC Received <br />YES ❑ NO <br />Emissivity:610 <br />Tem erature: (A } <br />Container: Thermometer ID: <br />s °C / 1C } t °C <br />Date/Time <br />Analyst [nit <br />SAMPLE CONTAINERS <br />7 2 <br />SAMPLE NUMBERS <br />3 4 6 6 7 <br />B <br />9 la <br />T PE UNPRES <br />4oz/8oz/I6oz PEUNPRES <br />2oz Cr" <br />T INORGANIC CHEMICAL METALS <br />INORGANIC CHEMICAL METALS 4oz / 8oz / 16oz <br />PT CYANIDE <br />PT NITROGEN FORMS <br />PT TOTAL SULFIDE <br />2az. NITRATE/ NITRITE <br />PT TOTAL ORGANIC CARBON <br />PT CHEMICAL OXYGEN DEMAND <br />PIA PHENOLICS <br />40.1 VOA VIAL TRAVEL BLANK <br />90.1 VOA VIAL <br />T EPA 1664 <br />IT ODOR <br />tADIOLOGICAL <br />IACTERIOLOGICAL <br />0.1 VOA VIAL- 504 <br />IT EPA 508160818080 <br />IT EPA 515.1/8150 <br />T EPA 52s <br />T EPA 525 TRAVEL BLANK <br />Iml EPA 547 <br />' <br />1m1 EPA 531.1 <br />i <br />z EPA 548 <br />f EPA 549 <br />V EPA 80I5M <br />i <br />C EPA 8270 <br />c/I6oz/32oz AMBER <br />/ I6oz / 32oz JAR <br />_ <br />1L SLEEVE <br />d <br />B VIAL <br />_ <br />ASTIC BAG <br />-_- <br />i <br />DLAR BAG <br />IROUS IRON <br />_ <br />ORE <br />ART KIT <br />_ <br />i <br />4MA CANISTER <br />' <br />menti <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: 1000551238 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />
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