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a 1, r6,l aaa <br /> n <br /> HYDR <br /> ENV IR MENTAL Chain ®f Custody CA PO-2089 <br /> TECHN W OGIES, INC. Of <br /> 2394 Manner Square Dnve,Suite 2, Alameda,CA 94501 Page°a" 7/ / <br /> 510-521-2684(voice) 510-521-5078 (fax) 7 �� <br /> ArWysu Request <br /> Lab Name TEG <br /> Address 11350 Monier Park Place s <br /> Rancho Cordova,CA 95742 x <br /> um S w $ oh a = x$ 5 <br /> N A <br /> Telephone 916-853-8010 x $w ° = ID o r <br /> USam lens(Slgnatu "' o E V ° a <br /> r r7 f N <br /> S uY x x o o O Q r m U ° rn E <br /> Sample Number Matrix Location IIII---� I > > > a a c F owe a a z' <br /> t 0007 l 13SD soil B-3 tV feet) C <br /> 0007IX <br /> -o t soil B-3 1'5'feet <br /> f <br /> 3 0007 I 14t 2z soil B-3 10 feet Xx <br /> 4 0007 S 3 14 L#5 soil B-3 Z'5-feet <br /> 5 0007 13 Sn soil B-3 30 feet <br /> 6 0007 15 7/5 soil B-3 6 5 feet <br /> 0007 soil B-3 feet) LeLNJ <br /> e �D <br /> e 0007 soil B-3 ( feet <br /> l0 0007 soil B-3 ( feet) <br /> Sample Recet t Relinquished By 1 Relinquished By 2 Rehnquished By 3 <br /> Project Information P P <br /> Project Name Total No of Containers <br /> Central CA Traction Co � <br /> Chain of Custody Seals (st ) Mme}(st (Time (Stgnatuse) (Time) <br /> ProjeMMarsager Avakian <br /> G'ff37mpr <br /> Job No Rec d Good Co�oonlCold (Pau_,red N n) (Date (Panted Name) (Date (Printed Name) (fie) <br /> 007-346 VZIF <br /> Shtpprrig ID No Conforms to Record Company) <br /> (�PanY - U (company) <br /> Lab No Received By 1 Received By 2. Received By (Laboratory) 3 <br /> via Hand <br /> (stgnatmre) CI'Ime)(stgnatrrris) (Trine (Signautre) (!"ume <br /> Special Instructions/Comments ildp a <br /> t <br /> Standard Turn Around Time (Printed Name) (Dau)(Panted Name) (�� (Pante Name) (bau <br /> (company) (�pany) (l abmntoryl <br /> I ` <br />