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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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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-CAW `ck6kd and Anal '. `c Instructions `tee ofd- B00097 <br /> Send WI&Wfttar Field Log Book#(COC#) big IIA Rek.# rtc.tt 8/ <br /> LLNL Acct.#,..I 3 ko- to 4 Sampling Request# <br /> ease an c role) <br /> Attn: ORAD Dfita Management Team L-633 Analytical Laboratory Name CL S <br /> Lawrence Livermore National Laboratory Analytical Laboratory Log# h'!6532 <br /> P.O.Box 808, Livermore,CA 94550 <br /> Analysts 8c Turnaround Additional Instructions to Lab <br /> Also Fax copies to: Fax# Requited 1 <br /> Project Name: ei I v <br /> Sampled By: Qt tw.c k Sampler's Employer. L LN L 0 , <br /> Matrix/I' ��y <br /> Sample Sample YPe 2 #of Study <br /> Identification Datefrime ContaineriType3 Cont. Area Q CL Remarks <br /> `l- i • -S /o m00%' Sd S l � (� <br /> Signature Company Time Date 1. N=normal turnaround, F=I-week turnaround <br /> Relinquished by L JA R=24-hour turnaround,H=Hold dgla analyze unless requested <br /> Received b CLQ p/ 2. Sample Matrix Codes:See list on back of pink copy <br /> Relinquishe 3. Container type codes: V=VOA Bottle,P=Plastic Bottle, <br /> G=Glass Bottle,T=Brass Tube, <br /> Received by .; i lj B=Bag,S=Stainless Steel Tube, <br /> O=Other(specify under remarks) <br /> Relinquished by Internal Use Only <br /> Received by CC: <br /> White:Laboratory return to ORAD Pink:Sampler leaves with ORAD <br /> Revision 3.3 � P <br /> } Attn.Data Management Team L-633 Yellow:Analytical Lab Attn.ORAD Data <br /> 29 Oct.93 ORAD ,.., . 1< Manape�ment Team L-633 <br />
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