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M MOO= M M M M M W11F4 CPW 1EMW3-! -W <br /> 4r <br /> HYDR <br /> Batch No <br /> n <br /> ENV 1Rr MENTAL Chain of Custody CA PQ-20$9 <br /> TECHN -, OGIES, INC. <br /> 2394 Mariner Square Drive, Suite 2, Alameda,CA 94501 Page of - <br /> 510-521-2684(voice) 510-521-5078 (fax) Date 7/ (z 12000 <br /> Lab Name TEG Analysis Request <br /> Address 11350 Monier Park Place <br /> Rancho Cordova, CA 95742 o E <br /> CyY 0�0 OQO [(� N C` O P'1 75 K 90 <br /> Telephone 916-853-8010 B r C N o 3 C <br /> m s <br /> Sagiplers(S/tlna reSp^ r ¢a ¢ r u v [ t�� N o E E o c v ¢ u <br /> iNl4� i LV" �0.c1 ti a a O o' oo ,p c p w a `o <br /> y c w <br /> m al ch M E <br /> t� x Vd a. a a. a a o oSam le Number Matrix Location > > > n a a a F aF <br /> a Z <br /> I 0007 soil B-1 ( to feet) <br /> z 0007 1 Z (o soil B-1 { S feet) <br /> 3 0007 t 7. (J Z5 soil B-1 ( r✓ feet) <br /> 4 <br /> 0007 Z it d t: soil B-1 ( L� feet) <br /> [ <br /> s 0007 L( �; soil B-1 (�r- feet) <br /> 6 0007 soil B-1 feet) It <br /> 7 0007 Z L soil B-1 (`^ feet) l <br /> g 0007 soil B-1 (If.> teet) <br /> 7� �I soil - <br /> l0 0007 soil B-1 { feet) <br /> Project Information Sample Receipt Relinquished By I Relinquished By 2 Relinquished By 3 <br /> PmfceCentral CA Traction Co LdL i Name Tola!Na of Containers f� <br /> Protect Manager Chain of Custody Seals (sign[u re) ° (Time)(Si store) (Time)(Signature) (Time) <br /> >j vakian 4 x ���c� 11, 0 7 —o <br /> Job No 007-346 Rec d Good Condiuon/Cold (Pnmm <br /> ed Nae) (Date)(Printed Name) Ug 4�r, (Date)(Panted Name) (Date) <br /> ✓ i7Y J G 1 <br /> Shipping ID No Conforms io Record (Company) (Company) (Company) <br /> I,th No Received By I Received By 2 Received By (Laboratory) 3 <br /> vii Hand <br /> 4 Sli(Onl Iris frucbl)[M(,ununeniti Si um c (Tune)(Signmure) 7 ime)(Sigiiatum (Time) <br /> Standard Turn Around Time (PnntedName) [Dau){PrmtedNam, { ate)(PrintedName) (Date) <br /> T l Z ern (- 1 <br /> ((ranpany) (Company) ("Imratury) <br />