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Batch No <br /> HYDRA <br /> ENVIR MENTAL Chain ®f CustodyCA PO-2089 <br /> TECH Nr QGIES, INC <br /> 2394 Mariner Square Drive, Suite 2, Alameda, CA 94501 Page 1 or <br /> 510-521-2684 (voice) 510-521-5078 (fax) Date 7/ lt+ 12000 <br /> Lab Name TEC Analysts Request <br /> Address 11350 Monier Park Place <br /> v <br /> Rancho Cordova, CA 95742 � o N w a n <br /> _ ppp <br /> F W N W T v <br /> ° <br /> Telephone 916-853-8010 'n <br /> EyiN <br /> o <br /> Sa lSi t res) E <br /> .2!V vo u ] <br /> rWv <br /> Ucs <br /> rn '9 F E <br /> Sample Number Matrix Location F a m m r F F > > a a n� .°a a d N a a A a I z <br /> t 0007 1 (; h(; <br /> MX I IX <br /> 2 0007 ( 11 3D I,sb%iQ'-K <br /> ] 0007 1 L4 ! � O <br /> 4 <br /> s 0007 <br /> 6 0007 <br /> 7 <br /> 8 <br /> is <br /> Project Information Sample Receipt Relinquished By l Relinquished By 2 9R1I.1q.1h1dy 3 <br /> �^ 3 <br /> Project Name Tola1 No of Containers r7 � <br /> Central CA Traction Co ---- , �v�? P(Pnnt�od <br /> 16S" <br /> Pro)ea Manager Chain of Custody Seals (S=g lure} (Time) rfi eJ ig curt l (Time) <br /> Avakian �AJP'CI > )-� ObrrC4" G j"!d> r 7 ( d� -f <br /> Job No Rm d Good Condition/Cold (Printed Name) (Dale) ame) (Date)(Pnnied Name) (Date) <br /> 007-346 17v�1 wt <br /> Shipping ID No Confomn to Record (Company) (Company) (Company) <br /> Lib No Received By I Received By 2 Received By Laboratory) 3 <br /> Vi, Hand I X00 S- <br /> Splllul Ilritru Cttp 111r(,II Itt ITll alts <br /> 4' ' namreI Go <br /> ilt)( sgn re (Time)(Signatu I Time) <br /> (NI I Name) (Dot )(f'rsnicd Name) (Daic)(Print Name) O r <br /> Standard rurn ACOUnd I irne � r441� ��tzw 7 r�, /tt1/ 14 Jf <br /> R urusj>.my) IG>inlmnyy it rratory} <br /> I�� <br />