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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 NIA Work Order"i <br /> McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1534 willo\\Pass 1W.Pittsburg.Ca.94565-1701 Turn Around Trine I Da\ hush 12 I):n Flush 3 Day Rush S I)IX t�uiric <br /> Telephone (IM)25'-9262/Fax:(925)252-92M l-tt:rE,\Int. I-:SI. C•Icanup Apprmed Dn Wetght I Bottle Order <br /> Milia a ntcculill h)•Il.omt Delncn Formal I'DF Gerirracl.er EDF I F..DD I Write I)n i Mgt Detect Summan <br /> Report Ta:Daniel Kramer Bill I'll:Daniel Kramer Anal\sis Requested <br /> Cbmham:Peiralogix Engineering Inc. <br /> I{nt:til:dkramer@petralogix.com <br /> Alt I.ntail:mcampos@petralogix.com fele: (209)834-4050 <br /> Project Name: ttix„re (,s Project <br /> Project Locution: C <br /> ,,:tntpler Signature: <br /> 1.1.\MPLI: 11) Sampling <br /> �4atrix Preser+ati e <br /> Location Held Point Date T"intc <br /> I <br /> '.I+I eh:w '.!I ti I dndo.c.wy du,penna ilnnu::Js 6nu,\u ie he present m Thai suhmntcd s:uupk.ui unrcenuauons that m.n..-.rr unnndraic Kann nr scrum fiuurc tuahh cnJanpcmrcm a*a resuh ul tenet:glu\cd.„pen au.eany,le hmrdlmp by\I:\I ual i <br /> ...mdna....:incurs an nnnicdiaic S]$n surcharge arul rhe client a whlect rlull Icgal hahihq f,r harm sulTcrrd 7}wnk you I,-.:, ur understandurE and Int allurinE us p,eork sadly <br /> If nxaal .,ic requested tiff+eater s:unples and the+\ater type I Matin)is not specified on the cham of custody.MAI\\ill dclault to metals by 1{201)x Comments Instructions. <br /> Please pan &an adequate volume ol•sample ly the eulume is nut skilliciew Ior a M',MSI)a I CS LCSD+cell be prepared in its place and noted in the report � \ j <br /> Relinquished B.\ Compam Name Date llnrc Recci\cd 13) Compare\Name !D1:to I1-1111VT, ,/tr ' 4 J lJk) <br /> PC-�—!'a. J ZC' ! (y�1UM ) ,iV J <br /> Matrix Code:DW=Drinking Nater.(iW=Ground\\alcr. asic\I iter. r. Soil.SL-Sludge.A air.\\P Wipe.O=Other <br /> Preser\uti\e Code: 1=4'C 2=110 3=11•SO., 4 I I\O; \aOl l 6 1n0:\k: `..i+)i 1 -, \one teal)\ �J/ ,z c.� Initials p <br /> Page_ ol•._ <br /> Page 8 of 9 <br />
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