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ACTE CHAIN OF CUSTODY RECORD 38&8 <br /> MACTEC Engineering and Consulting, Inc. SAMPLING <br /> 5341 Old Redwood Highway, Suite 300 NAME OF FACILITY: 0C <br /> Petaluma,CA 94954 INFORMATION r7n <br /> (707)793-3800-FAX(707)793-3900 STREETADDRESS: . <br /> NARI-L7�g CITY/STATE: ?i; 4 ZIP: <br /> PROJECT NAME JOB NO. <br /> SAMPLERS IGNAT E) SAMPLERS INITIALS(PRINT) r�C/ O <br /> All z <br /> SAMPLING DATE <br /> TIME o • SAMPLE SAMPLE FIELD <br /> MATRIX NO. LOCATION MEASUREMENT <br /> y� <br /> MIA <br /> 5� ( - X X >� <br /> "XI <br /> � X <br /> L< <br /> 5 �'31r XXX f <br /> z x _Z zvb s X Ee <br /> ,�dam`�• � �:x. <br /> REU ISHEDBY: DATE/TIME RECEIVED BY: DATE/•TIME -AELINQUI HED BY: RE ED BY <br /> L <br /> ( G TUREj , TIME ME <br /> v - � <br /> SIGNATURE) IGNATURE) ` <br /> y� MATRn��1 0 q 0y ��3(] 9� 1'r') DISTRIBUTION:ORIGINAL AND YELLOW COPIES ACCOMPANY SAMPL SHIPMENT TO LABORATORY. <br /> PINK COPY RETAINED BY SAMPLERS. YELLOW COPIES RETAINED BY LABORATORY. <br /> WATER.W REMARKS <br /> SOIL/SEDIMENT-SO i„ , < 14 4 _ � <br /> �Z\ER-NA l �l <br /> � {6- +:S'@��3� -t'AS6F1� h �'`��Gi�; {�'1� `'.�.:2 ll� ��Y�i23�s:: .0�•'� ��AF'�' �Il�'i. �`)F'CtE�� .: - �' y'-�' r J °fi' �.�id��y� _ ��� 1,st <br />