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PECEIVED DEC S 3 GU <br /> Protect Name I Job Numbers < Turn- Log Number '' <br /> Fubf1 c-n11�, �,�,r��G 1� U Around 300 :1 <br /> Protect Manager t Laboratory N 1, Time <br /> JF1ti]� (� �, Field Conditions <br /> Sampled By (Print Name) ►ff,, coo1� l o o mco <br /> o[4 <br /> Site Location <br /> Date Time Sample ID Type Container Pres Notes/Field Sample <br /> No. Typo _ _ Readings Depth <br /> C.- L � IC'E - <br /> Z ►1, ,t� l 1 <br /> - r_ - C 1 r <br /> 1111� Sf <br /> ` 15. E Ih` <br /> V4 n 3 X <br /> Rellnqulshed By Date/Time Received By. Special Instruction7ents Nom : Preservatives (Pros)' <br /> R—A-SD3-o �Gt-=t� ° (t) - HCL (3) - I G2_ <br /> °` 3 a <br /> 17 <br /> Suspected Constituents- <br /> 0 <br /> onstitsS�' t2) HNO (4)ON SO,ls ResultsTfo: <br /> AMERICAN <br /> Sample Retention �,�-Jt.�9 <br /> CNVIIaC3NMENT/>L MANAGEMENT Co1�P, <br /> 11655 Willie Roc% Road,nancho Cordova,Calllornl■ 95570 118160 065-6666 <br /> 6712 Llncoln Village Cf„ 514, 501, 8acramenlo,Co. 95627 119141 364-6872 <br /> 10000 6oalman Way, GIRMOn,CmIllornl■ 00660 1(7141526-6320 <br />