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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0505565
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FIELD DOCUMENTS
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Last modified
6/18/2019 3:01:22 PM
Creation date
6/18/2019 2:52:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0505565
PE
2951
FACILITY_ID
FA0006867
FACILITY_NAME
LLNL-SITE 300 BLDG 829 D1U1
STREET_NUMBER
0
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
CORRAL HOLLOW RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Chain-of-Custod Record and Analytic Instructions pap I or B. 00318 <br /> AIR <br /> Field Log Book#(COC#) Rehm# I ZZTog C3 <br /> LLNL.Acct.#_1.3(00- •q Sampling Request#. ' <br /> 7Attn:.,ORAD Data Management Team L-633 _ Analytical Laboratory Name GLSnce Livermore National LaboratoryAnalytical Laboratory Log# h►727 / <br /> ox 808, Livermore.CA 94550 <br /> Analysis&TurnaroundAdditions htstraedons to Lab <br /> Also Fax copies to C. Fax# Required 1 , <br /> Project Name: 2- U <br /> Sampled By:-k Sampler's Employer-L. L <br /> .4 t� <br /> Sample Sample Matrixfrype 2 #of Study <br /> Identification DateMme Contaltter 3 Cont. Area �' Remarks <br /> MJ1qh#r 0 -- <br /> 7 `qctC L 51000-1 <br /> -7-T <br /> Signature Company Time Date I. N-normal to=round, F-I-week turnaround <br /> Relinquished by ..ad It=24-hour turnaround,H-Hold Baia analyze unless requested <br /> Received b <br /> GL-s . �' -I r- .� 1 Sample Matrix Codes:See list on back of pink copy <br /> Fftceivedby,-J§�Z- <br /> y 9 O� WI <br /> 3. Container type codes: V=VOA Bottle.P=Plastic Bottle. <br /> CLS 2/ G-Glass Bottle,T-Brass Tube, <br /> B-Beg,8=Stainless Steel Tube, <br /> Relinquished by O-Other(specify under remarks) <br /> • Received by 1�1 Use onl <br /> ' CC: <br /> W N:Lagerdarn t•ORAD Ptak:8assidw kava M <br /> with OR <br /> 29 Oct.93 ORAD Atte.Data Ma� t Tecta L.633 Yellow:Andy"Lab AtUL ORAD D4"Maw Tun 4433 <br />
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