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1 4-tt_. <br /> McCAMPBELL ANALYTICAL INC. C HAM OF CUSTODY RECORD <br /> I&U WILLOW PASS ROAD I PITTSBURG.CA 44565-1701 Tt% AROU"TIM;;/PAA, . � [� <br /> Webmiir: wtvw,rtaa raa l alrrll,caeti!Email:aaaiaa( m"ampooll.com RUSK 24 1411 48 HR 72 lilt 5 DAY <br /> Telephone:(8777)252-9262 f Fax (425)25.2 9269 EDF Reg ulred? elt,,II � No Write On No <br /> Report To: �Jh 1 X111 T+n: l�*v1L�' � ,y Lab Use truly <br /> Company: a 4d) , p vCIS . PressurizAtion Gas <br /> ' P Pressurised By Date <br /> E-Mill: 41 ? f s N2 He <br /> Fele; ) �l 100& Fax: ( i ul <br /> Project th 9 Project Name: � � t:liuitt Shroud SN#: <br /> Project Location: l� tCIA Other: <br /> Saelpler Signature; i,_.._. Dotes: � � 9s '1 r <br /> collection <br /> Field Ssmple ID Canister SN# Manifold 1 Sampler <br /> (Location) lit SN4 Analysis Requested Indoor Soil Canister Pre urelYscuitm <br /> Date Time Air Gas InitialF' Fat Receipt Final <br /> Cap 0 <br /> �s <br /> Ls' <br /> -1 1 `S Sol;! <br /> i bank 1-05 r! -. <br /> (4 -100 <br /> q,416 m, <br /> Rtillaquishtd By, Hate. Tian. ERetclvcd By: <br /> A Temp VC) Work Order#: <br /> 41� <br /> f <br /> -' na) J4--'C <br /> Reliaaluit ed Hy: date: 'rinse: R.tettr+ed Ryv Equiptt nt <br /> Condition U) <br /> �t o. <br /> iicliaa�ariahed By !late; Time: Received By: Shipped Via: <br /> _W <br /> INTACT AC' <br /> Page 2 of 10 <br />