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COMPLIANCE INFO_FILE 3
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CORRAL HOLLOW
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15999
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2300 - Underground Storage Tank Program
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PR0231945
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COMPLIANCE INFO_FILE 3
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Entry Properties
Last modified
12/19/2022 4:38:41 PM
Creation date
6/3/2020 9:55:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
FILE 3
RECORD_ID
PR0231945
PE
2361
FACILITY_ID
FA0003934
FACILITY_NAME
Lawrence Livermore National Lab - Site 300
STREET_NUMBER
15999
Direction
W
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
15999 W CORRAL HOLLOW RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231945_15999 W CORRAL HOLLOW_FILE 3.tif
Tags
EHD - Public
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Laborq -yChain-of-Custody r <br /> C(A yT60~) LA ! _S es0 <br /> Project Name ®o <br /> 8 8 I LI No. y� ob �0 �0 <br /> Sampi (signatu e) o o <br /> Con- c <br /> tamers 4� (U <br /> I.D. Location Date Time Location Description ��� Remarks <br /> Type �0 <br /> U 9-7t!-t%or- 4-4.6' 4110 <br /> US y-Diu1=-3 --4.7' 6jz, o i:Ze M oil. <br /> • L.- 5-2 <br /> a HZ3—$764 <br /> • C4�.� 6 <br /> 315^its <br /> �t n <br /> • <br /> • <br /> Reil quished by: (Signature) Date/Time Received by: (signature) Relinquished'by: (signature) Date/Time Received by: (signature) <br /> jtp_ 08 <br /> In I by: (signature) Date/Time Received by: (signature) Reffniquished by: (signature) Date/Time Received by: (signature) <br /> Ilnqu shed by: (signature) Date/T me Received for Laboratory Date/Time Remarks <br /> b (signatu e <br /> Data relinquished from Lab Date/Time Datafrece ved i 60 y• tDataelinquished by: Date/Time Data received by: (signature) <br /> by: (signature) (s1 to re) <br /> Data archived by: (signature) Date/Time Distribution of pies: Lawrence Livermore National Laboratory "See reverse for codes. <br /> Pink—Sample Collector P.O. BOX 808 L-255 <br /> Canary—Analytical Laboratory Livermore, California 94551 <br /> Form OAP-e-1 White—Return to EQVG <br /> Rev.1 <br /> May 17,1989 <br />
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