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E2C, Inc. Phone: u,RDRATORY: CHAIN-OF-CUSTODY RECORM <br /> environmental/engineering consultants 14081 74 7-14 14 <br /> 1220 Crossman Avenue, Suite 200 Fax: ANALYSIS REQUESTED <br /> Sunnyvale, CA 94089 I4081 745-1089 <br /> Site Name and Address Project ! _ <br /> 0 <br /> �2pS ,� 1, n�ec',ca� �rrk 1/ � ZoG 3 a <br /> S plot Company <br /> — - o <br /> O 0 O <br /> o C> O > <br /> Y w <br /> Matrix Preservation <br /> c E o 0 o r n n .o <br /> c mo m m w w w o n <br /> Semple I.D. oW O W r W a` in <br /> 0 o F- O 2 O TIME DATE Location of Semple w e e 3 <br /> Z r a n a a a a <br /> w <br /> m W W W W W W 1/1 <br /> 1410 17Z <br /> TURN AROUND REQUESTED; SPECIAL INSTRUCTIONS: The following MUST be completed by the laboratory accepting samples for analysis: <br /> ❑ 24 HOURS ❑ 7-DAY 11 Have all samples received been stored on ice? <br /> O 48 HOURS NORMAL 21 Did any VOA samples received have any head space? <br /> ❑ OTHER /I 31 Were samples in appropriate contains end packaged properl 7 <br /> Relinquished by sampler: / !p Date Time Rec 'ved ( ' !' �• COOLER TEMPERATURE: <br /> ltiJ � <br /> R almqui9ha by: - Date Time Received by: For Lab Use Only <br /> Relinquished by: Date Time Received for LABORATORY try: <br />