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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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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 2317663 Page 2 of 2 <br /> PACEANALYTIGAL COO!_CR RECEIPT FORM Page_ Of <br /> stlbmiss.alt M '24)-116kS <br /> sHJPPiNG INFORMATJON SHIPP�Af CONTAINER FREE]„1QUId <br /> Fod Ex Q LIPS❑ GS01 GLS❑ ]-land DnEVNy ❑ Iola Ghesf Nane ❑ J30. ❑ YES� NQ Ce <br /> Pace Lab Feld Service L 01hEr 0(Specify)_ Other J7(Specify) f <br /> Refrlgerarlt, Ice Blue Ica❑ Nono 0 Cdier 0 C om3nin -m <br /> CIJ3Iody Seals Ito chf] j CorrEainer>g C] Nanc CarrLmn#s: <br /> IrAact-'ecs c3 ma `i+IkaCL'P'-'vim fl FGa <br /> Ard uerrom rmelved2 Yes Na[7 All WMP14:rankalners intsct? Yes ileo [Ma:ttipllory{$)rnalkeh COOT Y4WW No 17 <br /> OC Rocctrwtcl J;mlagtvlh: cenlsrear; ThormomelerIN DiftiMmW <br /> YES a 0 Tom mWe6-' [a _ .c Analyst Inn [0 <br /> sArlPL E NL7 ORFM8 <br /> SAMPLEd:oNrJurl�3zs <br /> y 3 dL a17 , 1 z 1 e 1 a yd <br /> 6 LUIPRES <br /> Haar$my JGU 1'S Om'RES <br /> Pos C4" <br /> METALS#azt Sat f 16- <br /> PT CV.iNJ>fE <br /> NrTfS.UFWES <br /> n <br /> Fr TOT <br /> FTTQTALM17AN31'C"A& j <br /> N� <br /> AOrtl VOA V3AL TRAV EL STANK <br /> OrdY)DA VIAL <br /> OT EFA[66-073 <br /> FT ODOR <br /> 1, <br /> EArTERDOLri 7 <br /> 40 m1 YOA YJAL�sm <br /> QT EP.(E0WQ�.VWjA <br /> 12T EPA SLrLLiE75fA <br /> FpA 325.1 <br /> OT FFA Vl3t.➢L.i;r K <br /> dOn1115VA 597 <br /> 49..11 EPA 537_3 <br /> 2m Erlek soar ~ <br /> OT EPA L4%2 <br /> Wr bFA MOO <br /> OT EPA SMr <br /> a d 36qrf3be <br /> of J6ox JhR. <br /> MLSLEFAS <br /> P <br /> T <br /> 'RROL16 nll]r4 <br /> EatG+4R8 <br /> 31 IM K1T <br /> Surar&A CArfj=p <br /> Conurten[�• <br /> sanlale Nlemhering Camplcdod By; Da1NTJn7e_ MW S}MIN122 <br /> A=Aclual d Cr-c4rmcred <br /> 34{AI'o�[FYa.i hrf[[nA7�9 SSl pl4 P�FCJ IIG mor ID3 <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: 1001456594 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 15 <br />
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