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H YD R < Balch No <br /> ENVIRr MENTAL Chain <br /> ®� CustodyCA PO-2089 <br /> TECH N . OGIES, INC <br /> 2394 Mariner Square Drive, Suite 2, Alameda, CA 94501 Page 3 of <br /> 510-521-2684 (voice) 510-521-5078 (fax) Date 7/ ff /2000 <br /> Lab Name TEG Analysis Request <br /> Address 11350 Monter Park Place <br /> u <br /> n <br /> Rancho Cordova' CA 95742 o O E <br /> Telephone 916-853-8010 = o u � 2 <br /> a m r tv c <br /> X F f n w e E y W d 0 <br /> S piers(Signatures, / I M (W a o r" F E v <br /> m a, ry e W <br /> C7 p y Q N W to <br /> ° y v� 'n <br /> Sample Number Matrix Location N F A m a E0. 1� E~ > > > vs °a. a a a a� Ew a a o a s z <br /> 1 0007 14 1 VC b soil B-6 ( 1b feet) XX <br /> 2 0007 l I '2 soil B-6 ( IS feet) <br /> 3 0007 I1 36 soil B-6 (2v feet) <br /> 4 0007 l ; soil B-6 ( c,5 feet) I <br /> s 0007 1TSU soil B-6 (30 feet) <br /> 6 0007 soil B-6 (� ; feet) XX <br /> I <br /> 7 0007 I 1Z soil B-6 (4c> feet) I <br /> g 0007 t l 3 1 soil B-6 (/+5 feet) <br /> 9 0007 soil B-6 ( feet) XX <br /> io 0007 soil B-6 ( feet) XX <br /> Project Information Sample Receipt Relinquished By l Relinquished By 2 Relinquished By 3 <br /> Protect Name Central CA Traction Co Total No of Containers n <br /> Project Manager Chain of Custody Sear (S+ noun!) (Ttmc)(Signature) (Tim (Stgnatune) (Time) <br /> Avakian G��, iF �1�11 >rlR� 14 rh uJ //,. ��" 7 7-! <br /> Joh No Rec d Good Condition/Cold (Panted Name) (Date)(Pnam_j (D (Printed Name) (Date) <br /> 007-346 IV i�- [ Vr/ 14c, <br /> Shipping ID No Con(onnS to Record i(Company) (Company) (Company) <br /> i.tn No I Received By 1 Received By 2 Received By (L oratory) 3 <br /> tiplUsll Infill lit IIUnti/(orllRkiniti {St nu a cr) a u)(sign tui!) ( nntS(St6natum)p (rime) <br /> 7 ! - p � r� i,./11 �if <br /> 1)lllldtld Turn Ar(xnul Ilene Muted Name) (Date)(1'ttntedNanw) (Dase)(Printed arta!) ( ale <br /> Id un 11 ny) H wnqumyJ (l.a sutory) <br />