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M mile= M M M M w M � In0T <br /> Batch No <br /> HYDR <br /> ENV IR � MENTAL Chain ®f CustodyCA PO-2089 <br /> TECHN �- OGIES, INC. <br /> 2394 Manner Square Drive, Suite 2, Alameda, CA 94501 Page Z of <br /> 510-521-2684 (voice) 510-521-5078 (fax) Date 71 f 12000 <br /> Lab Name TEG Analysis Request <br /> Address 11350 Monier Park Place <br /> Rancho Cordova, CA 95742 <br /> N <br /> Cl 00 9n cD t O ry O ri K N <br /> 916-853-8010 <br /> Telephone s s <br /> UO <br /> Sa piers(Slgnat res} / Q ¢ E— ti o N E E o r c a <br /> c a h .c V U oa oa V u, a, p n a o <br /> W n W u u u v C7 > V obo >, tr 'y y <br /> Vs X to co 3 O = - O N 1.. Q W yr L <br /> x S W a 2 T S S = = E S y W f t. tX o a+ rn ti F 'a <br /> Sample Number Matrix Location N F- �m � r � t"- r >° > > rn 0- a � 3 a ° 2 <br /> 0007 1 � Lib soil B-4 ( (o feet) XX <br /> ` <br /> z 0007 114 D`'e OU soil B-4 { fh feet) X I XI <br /> 3 0007 1 z2 P6 2, soil B-4 ( 7x feet) XX <br /> 4 0007 I q U'F�-O soil B-4 {(1J-feet) t <br /> s 0007 14 CF S soil B-4 { U feet) <br /> 6 0007 Iq Q`l Lo soil B-4 (? feet) <br /> 7 0007 (1 vGA 6-D soil B-4(-fD feet) f <br /> 6803 sod— B 4 <br /> Project Information Sample Receipt Relinquished By 1 Relinquished By 2 Relinquished By <br /> Project Name Total No of containers <br /> Central CA Traction Co �, ? 4 y o <br /> Project Manager Chain or Custody Seals (Sig turc) (Ttmc)(Signature (Time)(Sl na ) (Tsmc) <br /> Avaklan P afro oA ul,lliar�G ctio � 7/1 Y&—, 5. } 47-00 <br /> Job No Rec d Good Condition/Cold (Punted Name) {Date)(Printed Name) (Date)(Printed Name) L�A't.(Date <br /> 007-346 - L !if Q[/P1e[r <br /> Shipping 1D No Conforms to Record (Company) (campany) (Company) <br /> Erb No Received By 1 Received By 2 Received By (Lab ratory 3 <br /> n <br /> HandG G��tt,t.� (C� 5a .�� <br /> 5111s.1a�I[l4trllUlgRtir�.[1111I11�111,7 iSignnturc) (Torre)(Signal m) (Time)(Signulum) - Tim) <br /> �4rlf rcwt. C L°?� }�-✓ �r o< i �+ 5L <br /> ( ori e-l) 1 <br /> (I rimed N uue) (D�rlc (Pnmcd Nana) (D ue)(printed mc) ' ` Date) <br /> Standard Turn Aioun(1 -11111(- �---�- l p <br /> (langtimy) (Lomp my lr-t�ratory) <br /> r <br />