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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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9999
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4400 - Solid Waste Program
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PR0440005
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2023-2026 Reports
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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 2317664 Page 2 of 2 <br /> FA0EANA1.Y1lGAL COO LER REGEIFTFORM raga Of <br /> SuFsmF3sEon#: <br /> SH[PPJNG INFORMATION Fathor <br /> F�NG CONTAINER FRf P IQUI€1 <br /> Fed FX ❑ UP$❑ CSO f GLS Cl Hand Delrvery ❑ Mone ❑ Box ❑ YM NO ❑ <br /> Paco Laid Fleld SprylGo r( Other 13(Speclfy) (Speclfy} � $ <br /> RSM913TWA' Ice 96 ]Biba Ica 0 None❑ OtharO Cornmants: <br /> Guetody 3eara Ica Ghent Q Containers Q None Cammenfe: <br /> 1 met? 0 011 Irrlecv-y" ❑Nn fl, <br /> AlJ&enij es recalwd2 Ys*y Mo❑ AllsarnPler,rcmfa41erm rntacie Yes No❑ DowddAlon(l)match MCI? Y-1W No p ; <br /> ReCefVe{1 ErnisBlVJ[y Canlalnar. �TNefmonxEer ID. 99q >xaleFrlmn� ! <br /> YES D NO TsmAFralur', [A�_ T G f C I •C Analyst Ink fJ[ D <br /> SAKIPL.ENOMERS <br /> SMAPLE CONY.A.]NL+RS <br /> OT <br /> FE UNVAES <br /> rU 0 Fen f]Got CS divrv:ES <br /> i <br /> JrGOIiGJ.NIC C 8 ALM"'f. <br /> TNORUA-NDC CHEM7C'AL METALS4K f Mot J]dna <br /> FT CYANME <br /> Y1 RMRDG1tN POPM— <br /> zu NrTFw'rE1Nr(W 9 <br /> PT CHEffJ CA4&x,euEff DHAt6 hlo <br /> A PHENIX.ME <br /> .. A VIAI_TRAVF.1.BLk <br /> 4dml WOA YULL <br /> T e A I WIN <br /> YT ODUR <br /> 3tA67OLASC'[Gl1_ <br /> L,+. 10l.OGY�wL <br /> aa>m <br /> QT EPA:WFMUI.M03A <br /> QT1TA S7 57JFl57 A <br /> f8awaua <br /> T F.PA5aZ v&33tAINK <br /> d13iiil EFA 537_1 <br /> S—EPAS EA <br /> EPJ.SASl4 I <br /> EFA lOMM <br /> Tog <br /> r]�c a7m,�na I <br /> IF <br /> mrLSLEEVE W1 G BAC <br /> YkaptAlk MG <br /> FERROUS IJt M! I <br /> NMCUHE <br /> LMILRY lCLT <br /> 8UMA C4[fSlER j <br /> Cemmenla � ve- £ al <br /> SAmplRNumboring om+platedBy: Da6errlmsq ft-� C,05 LPoeribda7A2t <br /> A=Actual J G=C4rrerted fIs�waa=ntm�n .n_ooca o��avinoc�.� <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: 1001456595 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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