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.EMC Job # ��� � ` &CONFIDENTIAL) AEMC Log # _ <br /> SAMPLE MANAGEMENT RECORD ********** <br /> Generator/Client / �n/ ' y1 GL ' A- e <br /> AEMC Project Manager <br /> Job Description ZXIVIL /;l <br /> SAMPLING INFORMATION �L, <br /> Sampling Date^ / - - F <br /> ?- ' Sampling Collector ;? <br /> Sampling Location 7 <br /> (Provide sketch on back and /match sample # with sampling location) <br /> 2 <br /> Suspected Toxic Constituents ea 01e7 e-�ic <br /> Field Conditions <br /> Sample Depth/ Time Sampling <br /> Sample # Type Drum# Sampled Method Notes <br /> r <br /> (.or more than 4 samples, attach a Continuation Sheet) <br /> LABORATORY ANALYSIS <br /> Laboratory Contact/Phone # <br /> Date/Time Samples Delivered Z�%�•- .3'�- ( . AEMC P.O. # <br /> Report Due Date "Rush" Authorized by <br /> Analysis Requested <br /> 65 C <br /> Send results to AEMC Laboratory, Attention: f�•z <br /> Sample Retention Instructions <br /> CHAIN OF CUSTODY <br /> Relinquished by (Company) Received by (Company) Date/Time <br /> 7 3 <br /> AMERICAN ENVIRONMENTAL MANAGEMENT CORPORATION <br /> 11855 White Rock Road, Rancho Cordova , CA 95670 (916) 985-6666 <br />