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ARCHIVED REPORTS_XR0007174
Environmental Health - Public
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EHD Program Facility Records by Street Name
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E
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88 (STATE ROUTE 88)
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14000
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3500 - Local Oversight Program
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PR0544811
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ARCHIVED REPORTS_XR0007174
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Entry Properties
Last modified
11/20/2024 9:21:19 AM
Creation date
9/5/2019 1:48:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007174
RECORD_ID
PR0544811
PE
3528
FACILITY_ID
FA0000091
FACILITY_NAME
Colonial Energy CE 40138 (DBA Power Mart)
STREET_NUMBER
14000
Direction
E
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
02
SITE_LOCATION
14000 E HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Xseattle(Edmonds) (425)778 0907 <br /> El Tacoma(253)926-2493 <br /> 14 LANDAU ©Spokane(509)327-9737 Date 8 /� <br /> ASSOCIATES ❑Portland(Tigard)(503)443-6010 Page—L-of I <br /> Chain-of-Custody Record <br /> Project Name i ` 0,1 1,•�l1�t-og9 Project No ,2-YOM 0 tO o listing Parameters Turnarot d Time <br /> Project Location/Event Lpc-�`��+rX C.� Standard <br /> � }} JI� <br /> _ ❑Accelerated <br /> Sampler's Name AhAi n MoW p <br /> Project Contact Vw ,r M&ra <br /> Send Results To 6-7V4J4 INl6n <br /> No <br /> Sample i D Date Time Matrix Containers Ohservaiions/Comments <br /> clow water samples to settle,collect <br /> 0930 �rOalrquot from clear portion <br /> {/p NVVFPH-Dx <br /> 10 _run acid wash/slfk:a gel cleanup <br /> MW-'7 ['L b 6 _run samples standardized to <br /> product <br /> _Analyze for EPH if no specific <br /> product identified <br /> W' b 3 0 V0C/t3TEX/VPH(soil) <br /> non-preserved <br /> _preserved w/methanol <br /> —preserved w/sodium bisulfate <br /> Freese upon receipt <br /> Dissolved metal water samples field filtered <br /> Olher 1147- g-. <br /> OPE + <br /> r <br /> Special Shipment/Handling Method of <br /> or Storage Require ments Shipment <br /> Rehn s by Recent d Relinquished by received by <br /> ' nature ure <br /> i gnaturs Signature <br /> Pr ie Nem Print (� <br /> Panted Name Printed Nam <br /> Com <br /> pany Company Company Gompany <br /> Data Time L��c� Data <br /> Time Date Time <br /> Date Time <br /> WHITE COPY-Project File YELLOW COPY-Laboratory <br /> PINK COPY-Client Representative <br /> R"4/01 <br />
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