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Remedial Action Report Construction Phase
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Remedial Action Report Construction Phase
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Last modified
9/19/2012 4:38:48 PM
Creation date
9/8/2011 8:32:05 AM
Metadata
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Template:
Building
RecordID
10337
Title
Remedial Action Report Construction Phase
Company
Century West Engineering
BLDG Date
11/9/1999
Building
Courthouse Square
BLDG Document Type
Project Coordination
Project ID
CS9701 Site Survey and Remediation
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CH~iN ~~ ~' ~ ;~O~Y R~COR~ <br />~~-J..,.~~:~ ~~~ Speci~lty An~lytic~l <br />~::`~~ ~~ ( 9761 S.W. 95th t'lace <br />~. ,~1'' E:~ _ <br />~= ~'~' ; Tualatin, OR 97062 <br />~ `- -_%~~~ ~ <br />, (503) 612-9007 - f'hone <br />`~,_~ (503) 61 2-8 72 - F~vc <br />Cellected By: ~ ~ <br />Si~nature ~~~ "'~~~L ,~'. <br />Prinied f` '~1 ~'~~ 5~~~''~- <br />P ~ o( ( <br />Contact Person/Project Manager ~:~ ~ ~- ~'L~C~ //L~ ~~ <br />Company~/~~ i f~R ~~~~ ~ ~~ C~//L~C,Z7'-i /~~~~ \ ~Y_~~ - <br />Address ~ Z ~ ~L /1'1((C- ( JvC~~til ~t-f I / St,l; / t" ~~2~ <br />}~G.2T~,~-N i~ . ~T' . ~f 7 ~Z3 ~L <br />Phone ~52:~~ 'Z•3~?~ Fax ~ ~Zi~~) •Z.-~j~ - C~~'fZ <br />ProjectNo. b~Z`W~lZ7I`~k~~rojectName Lo~%~ ~4~e~',t .S~Li~rt-s--- <br />Invoice To r <br />CVL ~~ P.o. n~o. <br />Siynalure For Laberatory Usc <br />Printed ~ L <br />b J <br />b N <br />~~~~ <br />~ <br /> <br />Turn Around Time <br /> <br />~a~ <br /> <br />^ Rush <br /> <br />Specify <br />Rush Analyses hlust Be Scheduled With The Lab In Advance ~ <br />c <br />~ <br />~ <br />o <br />U <br /> <br />o <br />~ <br />Z ~ <br />~ <br />~ <br />~ <br /> <br />~a <br />v <br />~ <br /> <br /> <br />~ <br /> <br />(` <br />`~ 1 <br />(\ <br /> <br />~ a <br />o <br />o. <br />- <br />Shipped Via ~. \ ~~ ;~.v'~ ~ <br />Air f3ill No. <br />~ <br />Temperature On Receipt ~ °C <br />> <br />Specialry Analytical Containe~s?~-Y./N <br />~ <br />Specialty Analytical Trip Bl~nks? Y/ N <br /> <br />Dale <br />~I7 ~~j TimA <br />~~J~~ Sample I.D. <br />~f'1'~.l,J~~V^ Malrix <br />^ <br />~ V <br />1.-, <br />,;,~- <br />• <br />Commeni~ <br />LabID <br />~/ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> '7 ~ ~~ ~~' <br /> <br /> , <br />i <br />~ c~- IZ~~1 <br />Relinquished By_ ~/ -'L~ <br />Company: ~l.!~~~- ~ <br /> <br />ale <br />~~~'~/ • <br /> <br />Timi <br />17~~ <br />y_ <br />Received B <br />Company: <br /> <br />Relin uished B <br />q y: <br />Company: <br />D~1e <br />T~me <br />Unless Reclaimed, Samples Will Be Disposed ot 60 Days After Receipt. <br />Copies: While-Origlnal Yeliow-Project File Pink-Customer Copy rved For ~ab ~y <br />~' /~CJ` ~~~ <br />~ . t ~_- le, <br />~C~,.~.~j <br />7~,j ~' T~me <br />/~`% <br />! <br />V 'J <br />
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