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ARCHIVED REPORTS_2017_4
Environmental Health - Public
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4400 - Solid Waste Program
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ARCHIVED REPORTS_2017_4
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Entry Properties
Last modified
7/18/2020 3:00:04 PM
Creation date
7/3/2020 10:59:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2017_4
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_2017_4.tif
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EHD - Public
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Environmental Testing Laboratory Since 1949 <br />Chain of Custodv and Cooler Receipt Form for 1717159 Page 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: 1000620629 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX(661)327-1918 www.bclabs.com Page 4 of 12 <br />SHIPPING INFORMA71ON <br />Fad Ex 0 UPS 0 Ontrac 0 Hand Delivery 0 <br />i BC Lab Field Service M[ Other ■ <br />a <br />SHIPPING • '.FREE LIQUID <br />Ice Chad M None 0 Box 0 YES 0 NO 0 <br />• r ■ <br />� is <br />Refrigerant,♦.: /'! Blue Ice ■ NNone ■ Other ■ Comments <br />jkn Samos, resolved? Yes P No 13 All samples containers kftat? Yes 0 No 0 Descripthm(s) match COCT No C3 <br />COC Received <br />>i, YES ■ • <br />Einksivity: 11-9 -5 container: )Ma Thannam-wrio:209 <br />Tarnperalture: (A) <br />�► <br />J <br />a■aaaaaa�sas� <br />, <br />• -'"N '"Y .l ____■R' MM <br />1. <br />FIR �icl� <br />• 1 1. <br />.(/T 1. > ifF,_3s.7Li��illl!1� <br />' 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. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. <br />Report ID: 1000620629 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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