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Batch No <br /> HYDR ; <br /> ENVIR � MENTAL Chain ®f CustodyCA PO-2089 <br /> TECHN �, OGIES, INC <br /> 2394 Mariner Square Drive, Suite 2, Alameda, CA 94501 Page 4 or <br /> 510-521-2684(voice) 510-521-5078 (fax) Dale 7/ Z 12000 <br /> Lab Name TEG Analysis Request <br /> Address 11350 Monier Park Place <br /> a <br /> Rancho Cordova, CA 95742 a o v T$ <br /> N 00 t>D ONO N .+ K m V <br /> Telephone 916-853-8010 w 0 N e p0 8 <br /> oa v r <br /> bit <br /> n E w o <br /> Sam lers(SJ naIt 1 m , Q ¢ p% 0 o {jOC N o E h c a <br /> Cry u <br /> U Q U m C v m d �. Q ry a <br /> w w d a u u op y r� w <br /> eo coy X sA ao o - - > V O 4 N LL; rn <br /> I,y( E S v W LL d' v y vi n F E <br /> Sample Number Matrix Location F a M F F F > >° > �, a� a a a 0. a a o z <br /> i 0007 1 Z t--A- 05 VJ Ll-t./ �p <br /> 3 0007 <br /> 4 0007 <br /> s 0007 <br /> 6 0007 <br /> x <br /> 9 <br /> 10 <br /> Project Information Sample Receipt Relinquished By I Relinquished By 2 Relinquished By 3 <br /> Project Name Total No of Containers44��' <br /> Central CA Traction Co 6L— l k Z� r <br /> Project Manager Chain of Custody Seals (SIgnaturc) (Time)( i ria rc (Time)(Signature) (Time) <br /> Avakian 11t 1 Pik dam' I o -,; <br /> Job No Ret d Good Cundmon/Cold (Printed Name) (Date)(Printed Name) (Date)(Printed Name) (Date) <br /> 007-346 <br /> Shipping ID No Conforms iu Record (Company) (Com p��ny�} djfr (Company) <br /> dahNo Received By 1 Received By 2 Received By (Laboratory) 3 <br /> Hand <br /> bpCual InSirnCironS/t_O111 ifllntS ( ign lure) --I (Time)(Signature) frimc)(Signatuc) ("rime} <br /> CC k rp c�, r� !� v 11 ! <br /> JI In{lrlrCl Ilttn Ar�)t1nU � II��C (Printed Nun-) ({]nie)(F ril Nnnic) QU10(Printed Name) (Date <br /> !�L�n^n� VI"N { r 7'(-VU�� G `� t l )yt C,,, ,�' > ((unipuny) (Company) (Laboratory) <br /> 1_ 1 Lit. <br />