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COMPLIANCE INFO_2023 DOMESTIC WELL SAMPLING
Environmental Health - Public
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EHD Program Facility Records by Street Name
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A
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AUSTIN
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4400 - Solid Waste Program
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PR0440005
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COMPLIANCE INFO_2023 DOMESTIC WELL SAMPLING
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Entry Properties
Last modified
11/14/2023 4:26:31 AM
Creation date
11/13/2023 2:13:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023 DOMESTIC WELL SAMPLING
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
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SJGOV\cfield
Tags
EHD - Public
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1-0-2719 Al tr # <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2318011 Page 2 of 2 <br /> PACE,ANALYTICAL CODUR RFCEIPT KORM Page #� <br /> SHIPPING INFORMATION SHIPPI_W CONTAINM FRI=E Lj UIb <br /> Fed Ex ❑ LIPS❑ GSO I GLS CJ Hood Delivery G Ine C heat er Noo4 ❑ Box ❑ VE..$—w ND ❑ <br /> Fare Lab Fiotd Service Qther El(Specify) Other U(SpociLy)__ { $ <br /> Refrigarsnt lee Slue Ice❑ NOrr9❑ 011wr❑ conimaraa: <br /> GustodY Seals Icn C#1r kc CorrNunsi-3❑ Norio commatts; <br /> rnraGt?Yae❑ W(3 lnt�t7Ves 13 hta 0 <br /> All samRlas FvGewad? Yes D oto 0 All sampres conlalneru Ialed? Ya5❑ Nu❑ Y4a❑ NO 171 <br /> COC REcelued Ends MAY: Conialnor. TherPKmvtcicrID'a-h WorrJrn@44 $dN <br /> DYES ❑NO 7omperAUro: {A} L __ 'L' J lC 1 h 'C Anikl I 1111 <br /> ~ sA61pL2 FJUh1DF.rI6 <br /> sAmPLE CONTAIMER5 <br /> P _ <br /> aplt Eos F lata VE ONPISC5 <br /> F� <br /> ENORC15NlC[`HPMLCALhJ5T0.L5 <br /> 1ry¢]k� iC.4L hiETk Lfi 4 <br /> PT CYA"iDEi <br /> r ras <br /> PS— ALSOLSIDE <br /> lazN lNIT&1YF <br /> .lL RMRLCC <br /> PT'C 1_{}7€YCEET UFIRANb <br /> E'iA PHrsN�Ll <br /> 41-1 VOA VIALTR+iVEL BULWE <br /> 41-01 VOA VIAL _ <br /> Tri aaa>3 _ <br /> F-r OD <br /> RAIXGLOrUcAL _ <br /> AL I <br /> el m1 voA WeLL.SO& <br /> sE•ASNtK ti <br /> tyJ'�1'h 915,i✓k151h <br /> - I <br /> 9P6 911 <br /> QT rLA 5XR1 Trta.YEL vC AM C _ <br /> i it <br /> I <br /> {Fml EPA iri_L <br /> 91a L#PJ�31¢L <br /> OT <br /> P i�ax <br /> EPA 1413 <br /> ErA In?QQ <br /> Avg f W[ Y 31or.AM11r,R <br /> aoxt lCw¢i !Ad <br /> I <br /> Sit[ SLBF.UF. <br /> T• n orLC <br /> ttkcGnt <br /> SMART Krr <br /> WO-IMA CANIMP <br /> CaroikiIISts: _ <br /> g�mplxHurnh�rlr191r4111pfwF6ed�y�,� 6ataRlmE: _ p�tse�ull <br /> A=Acluel t 9=Cm-mrtvd u�, ,asw+r W d,00eW-r;l�r,woc M <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: 1001457970 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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