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SR0080885 SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0080885 SSNL
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Entry Properties
Last modified
11/19/2019 9:48:46 AM
Creation date
11/19/2019 9:05:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0080885
PE
2602
FACILITY_NAME
DEPARTMENT OF ENERGY - LAWRENCE LIVERMORE NATIONAL LAB C/O ADA CHAN (SITE REP)
STREET_NUMBER
15999
Direction
W
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95377
APN
25114005
ENTERED_DATE
7/15/2019 12:00:00 AM
SITE_LOCATION
15999 W CORRAL HOLLOW RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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General COC MAI Work Order?I_��0 <br /> McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1534\\'illott Pass ltd Pittsburg,Ca.94565-1701 Tum Around Tirne 1 I t r. P, h h 3 U:n Rush I I STI)i Y, I QUtric <br /> O Telephone:(877)'_52-92621 Pax:(925)252-9369 )-rlag "tot. PSI. Cleanup Approwd lhy Welvi Atte Order f? <br /> O tylctt.itA'C:1111nheIl.cUm main it mccamilbell.com rhlrvcn Formal 1,!w FDF I EDD 11'ntc(in(DW) Der": ,.:mm:1, <br /> Report To:Daniel Kramer bill To:Daniel Kramer Analysis Requested <br /> Compan\:Petralogix Engineering Inc. <br /> Gmail:dkramer@petralogix.com <br /> Ali I:inail:mcampos@petralogix.com Tele: (209)834-4050 <br /> Project Name: LL-ly L Project <br /> Project Location: L I\i t r !�':Ci it PO <br /> Sampler Signature: <br /> SANII'I.F.II) trampling = Q <br /> \kl1ri\ P(rservauw <br /> Location., Field Point Date I mic - <br /> V\I clrcnt,SII s I diwlov am danpennrs chemrcale known w Le present in di_u-hn otoll vamples its come nratwns that may cause inn ediate harm ar emm>future health enrlangemteni as n nidi of bnef:lit occd.open aur.sample hanJhuE h_. '.: ..... <br /> N...... clo>wc wears an nnnredrric S?5o surcharge and rhe ch:m is subject to lull I:dal lial'thrc kir liann suffercd.l hawk you lin your understanding and lin allmvng us to mink ialkis <br /> If metals rue requested for mater samples and the mate(npe IMamm i,not shrrilic.l on rhe chain of cu>tod\ MAI mdl deLudt to metals M I('_uu 8 Comments Insrrucuom <br /> Plwse provide:m adequ;ue cohunc of s:unple.Il'the volume is not sufficient tin a MS MSD a l.CS I('til)will he prepared in us placc:ltd noted in the report �� � DO r,�OT <br /> Rchnqwshed tic Company Name Dare llmc ccci%cd By l an)Name Date 'I unc <br /> Z PE rlI I I /Ici `l I2. Z <br /> Q s� <br /> Nlalrix Code:DW=Drinking Water.GW=Ground Water.1\'\\'=\Paste Water,SVV=Sea\%atcr.S=Soil.SL=Sludge.A=Air. WI' Wipe.()=Other <br /> Preservative Code: 1=4°C• 2-1ICI 3=112SO4 4=1INO, 5=Na011 6=/.n0Ac/NaOl1 7=None Ten)p / °C Initials <br /> AF <br /> Page_of*— <br /> Page 9 of 10 <br />
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