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Page—JI of 3 <br /> bp <br /> Chiu of Custody Record On•slte '11me 'temp- <br /> Projelrt Ntuue 2QQ2 roelndwater Sam ling Event Off-site Mnc. Teta <br /> 0HPlitl{GLIM C or a n. �I it Sky(,ond[lian� <br /> +� TiP?.3bortttory f:tlnti'tlrt Number. I Xktroralu �A Evmits- <br /> DatB: i Requested Duo Date (mm/ddfyy) 02- IiTszd Screed: DirCctio:i: <br /> 11 If � � <br /> Send To: 13P/CLAN Fac9n No. MOO ftatLQn 2133 Consiiltint/Conirnclnr SECOR <br /> Lab Name: SEQUOIA ANALMOAL BP/Oght Facllit Addreza: 2908 Benjamin IIolk Dr. Addmss. 8417Kilgore Rd., ate. 100 <br /> LabAddrem SIG fibikerAve.. Iia LD No. II --5 Rancho Cordova,CA 9907O <br /> Sacramento.CA 95894 itc Lilt Lon 38/4213 e-mall FI)I) charrnseseaor.corn <br /> =fonda Global ID I:T0007700O02 Cowl Atant/CoW radar Pmjeet No.:11710-100 00S0 <br /> Lab MM, Ron Bobc1 BP/OEM Phi Contact: Paul Supple Cotesul#alit/ConitnctorTcic/F)ax 910.861.04S0 <br /> Talc/F= 910.921.9000 dress• I Consultant/Contraetor Phi R Benko�ky-�1"'�"' <br /> EZ 1F, &go Lovel Invoice to Cnnsidhm#/Contraclar AF/CFM (drele <br /> !3Y/t31:�+1A cunt �n le/F�ax: DP/GEM WotkRelemc No <br /> UbBdticOnk Nor Aiatrir li Presenaln-cs Requcatce111l�xt}sIs <br /> I � <br /> kv <br /> Item a,, 0 Sample Point Lat/Long <br /> 111x. Sample Description Tlzne r <br /> ratory No a •' <br /> and Comnvants <br /> p O C" <br /> Z' ea a 0 <br /> I MW-2 x ------------ --------- 38 00444921 -121250if <br /> i <br /> 2 MW-3 38 00416591 -121.34 7 <br /> 3 MW-4 lid (Cq, OC( 31 Ix x <br /> 380040626f -121.3 , <br /> d MVI-5 Kl 0 ! x x 38 00435751 -121350'x}2 <br /> 7 I II ! <br /> 8 JI I <br /> Samplefa MqinE0 IC RgOnqi;tshvA8y/,�Afyiiiation UPI TiTne Acccptind Ity/AftlAilim 11natc e <br /> Sam lees Com al l <br /> Sill relit bate ' II <br /> .4`hl vilent Metholl' I it II <br /> SbI enL Tlad drig No. II ll <br /> SpecialInstrue(dona• 11 R <br /> I 11 II <br /> Custody Seals in Place Yes Nq Temperature B]SLjtkYes�,.,__No Cooler l:iture on Reccipt 'nip F31ank Yes 11!0 <br /> lliitributioa- While Copy-Labaralory 1 Yeliaw Copy-BPIG M1 Copy-Cotl whant(Ountrsdor ap COr uer I WRIMI <br />