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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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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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ENVIRONMENTAL BCIEHCES <br /> Chain of Custody and Cooler Receipt Form for 2317491 Page 2 of 2 <br /> PACEANALY71Q1L -- CO LER RECE�aPT FORM <br /> Page Of <br /> ShiIPE'ING IIJFORIJ9ATICN SHIPPI�ICs CONTAINER FREE!L.IQUI <br /> Fed Ex ❑ UPS❑ SO II i 1-5❑ Eland Delivery ❑ lee Chest 1 None ❑ Box ❑ Yrs O'No cl <br /> Pace Lei�lelcE S rVive 67t]ICr❑{SPec3fyJ C djot ❑�8pecliyl�_ <br /> Refrigerant-. lee Dlue Ice tl hlOrle 4 Oflier f] Colrltnents: <br /> CLrst-Ddy SOals CUEr CFla k[IContalrYers t3 None I 60WF errta= <br /> leLwA?Vas M1?d13 n [Elia a No C <br /> W1 38anplos rccolved7 Ym No❑ AW samples mvtalnets Imtagt7 '1115 W Nq E3 DeacAp9on{rj MLj h COQ? y.%g N. ❑ <br /> COC Re0eived EFr11-i%'if}� -0j�tt77 contorner_PI TherrnotaolmrrD; S7 uaawTtrrse •*r 2+ +} <br /> TR-YES 03 NO <br /> e■nptreinr - {A r J f *' Analyst IRIt 1 <br /> sAMPLEHUAoerPB <br /> 3hf11PEE CaNTFAaERS <br /> z � 4 18 <br /> rdr4FRm <br /> 4-141 WK PE UNPRES .,- <br /> N.Crl <br /> NICL�La><ncAr. kLS <br /> 1 CHPMI hl,S 4a2f Raxt 6 <br /> PT�1A <br /> £flCTAL3CBh1 <br /> P1'TOTAL SULFIDE <br /> 2ati•_Nn"RA7 <br /> P'rT4TAL C37t [{bYj}a _ <br /> PT CREW ICAC EQG9N 32LEMAND <br /> PEA PH <br /> 40.1 VOA VI EL RL.AHEC y <br /> 44m7 VOA VIA X <br /> FPFA l6dJA <br /> PF{3O <br /> RADCU L <br /> JDA-CnR30LDrWAL <br /> ep LIIIV4.4 VC4 i -.. <br /> BPASflafiL Xap!I <br /> Q7'UA MAMMA <br /> T CAA Sts,# <br /> RPk TRhYEL.ELANPC ~ <br /> ALmL ePA 5�7 <br /> 4avi1 EPA SlljA— <br /> &ax EPA SJ 8.1 <br /> g_k <br /> T BPA%49,1 <br /> T EPA M1 <br /> 7 RPD$!' <br /> 33ae AhiLt si _ _ <br /> of I F¢133vx1 <br /> ]LSLEHS+E .. <br /> FLa PIAL <br /> FLASTJC BitG - — <br /> DL.SR RAC <br /> E,RROk1B IR N <br /> RNcgctg _ - <br /> .NAVLRT]LCT <br /> 8UMNA CANOTPR <br /> GaminenEs• �1, x Gig' <br /> Sample Nut"rldg Cornpra6ad Fry: pa6pITItYIC' <br /> A-Ac.ua1 C=G'Ufleoted R«,qs d`2x <br /> �+'�++F'b�JPsn-..Izv vsakanaw�,n xl <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: 1001455779 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 18 <br />
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