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SI1WL Chain OF Custody Record LA 1- <br /> QTL-San Francisco <br /> Shell Protect Manager to be Invoiced j INCIDENT FIUMOER(SSE DNIYj 0 ' <br /> 1220 Quarry Lane D SCIENCE a EPM ��to, D�j .5'R1 9 9 5 5 2 6 DATE t -�-' �� <br /> Pleasanton, CA 94566 E3T%fl $ mrr fzUM9 R{rsrcRNr1� <br /> Derlls Braun F PAGE of <br /> �1CRMTttgWSTCOE - <br /> (925)484-1919 (925)484-1096 fax <br /> MIG COLPANY octan SITEADDREESS(Staattnd city) lY0BAL 1D N0 rt>Boetee•ee <br /> Cambria Environmental 880 Victor Road, Lodi,CA T0607700370 <br /> OELNERABLE TO IRO-P—M POW aO-V-} PRnHE NO E-MAL C <br /> ONSULTANTO <br /> ADDRESS EDF <br /> 5900 Hollis Street,Sults A,Emeryville,CA 94608 <br /> p D ECTCONTACTIt 7.,, PPDFRepotW shel ERWACJndedf Barone a-env com <br /> �LERN�,�IFion Barone r�aUSE a�y <br /> Aubrey Cool � <br /> TELEPHONE FAX E4WIL <br /> 5'10-420336 510-420-9170 wool @cambfla-enycom <br /> TUFt4ARoUND TIME(BUSINESS DAYS) REQUESTED ANALYSIS <br /> Q 10 DAYS ❑ 5 DAYS❑72 HOURS ❑ 48 HOURS 13 24 HOURS Q LESS THAN 24 HOURS <br /> ❑ LA-RWQCB REPORT FORMAT .❑UST AGENCY <br /> FIELD NOTES <br /> W,WSMT6ECONFIRMATION HIGHEST HIGHEST perBORINO ALL qq <br /> F F <br /> SPECIAL INST9UCT10NS OR NOTES CHECK BOX IF EDD IS NOT NEEDED E O O o Container/Preservative <br /> ,E O o or PID Readings <br /> i or laboratory Notes <br /> oc lab report to rbaronegcambrla-env sa a o <br /> n C m >! 3 a <br /> a V tu m f <br /> m e O D D p ON ICE <br /> x o q g c n <br /> Any questions please call 510-420.3306 4 � x � � �► q � � ? � � Field Pant Name <br /> LAB SAMPLING MATRIX No = S w m < O N 8 o p o a <br /> LW Field Sample Identification DATE TIME CONT F m m -C ' �' -J 0 <br /> OMY ` Ii bawl ' <br /> P <br /> Gna,rrl�►~L� t <br /> ' ►VNY- I -ZA tit 5 <br /> Jyyyr Kj <br /> ice► � — �j�j 115a 5 d � d ' <br /> h <br /> M w ' - lam; S.i <br /> Ramumbod Gy(S�9nnpr•) R•cwvd Dy aJ J/ zz Tim <br /> ! L <br /> RNnqutslwd by pi;—) Rx•ry y DaU TM l y , 5 U)91 <br /> R@#nWA9 Wd by-(-%9n-41) R•CMV•d • 09te Tkn• <br /> Td1da0 Rr�s+on <br /> DISTit15UTIDN WHt•wh fiisY apart Gl to Hl•Yatlawantl Pink to Cr•N <br />