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MACTEC CHAIN OF CUSTODY RECORD 3859 <br /> MACTEC Engineering and Consulting,Inc. SAMPLING <br /> 5341 Old Redwood Highway,Suite 300 NAME OF FACILITY: <br /> Petaluma,CA 94954 - INFORMATION STREET ADDRESS: <br /> (707)793-3800•FAX(707)793-3900 M r-1 C) i �G <br /> CITY/STATE: � �� � ZIP: <br /> PR(?JECT NAME JOB NO.j <br /> SAMPLERS IGNAT RE)// SAMPL RSINITIALS(PRINT) O w <br /> Z Pv fire' <br /> SAMP-fNG DATE <br /> f a z <br /> I O V <br /> • SAMPLE SAMPLE FIELD <br /> TIME MATRIX NO. LOCATION MEASUREMENT <br /> IN <br /> �F1` <br /> REu UISHEDBY: DATE/TIME RECEIVEDeY: DATE/TIME ELIN UISHEDBY: RECE C BY: DATE/TIME <br /> SIGNATURE) E}( IG REU !ITU <br /> QiI. <br /> ')MATRI U ' U� (I3a Of�. d DISTRIBUTION:ORIGINAL AND YELLOW C041-6-3 ACCOMPANY SAMPLE SHI MENT TO LABORATORY. <br /> U tx,1° PINK COPY RETAINED BY SAMPLERS. YELLOW COPIES RETAINED BY LABORATORY. <br /> WATER•W REMARKS <br /> SOIL/SEDIMENT-SO <br /> 11THER-NA :IV 1 <br /> f } e ?es:r,. ✓ y;r. •7 ✓d"a,, k• : .'y. '�, r u, _fi F.f r..}d5 r ;:c i �'i>r,:t? ,t,. ' i;s <br /> "'�;,:,.i ..`n. :f�''. tip; ,:5 � ai z�. y,�,, z.• u i �:::•r� .h ¢" 7. ria. :l."� .r�' .,�.`T ..: <br /> .a-:: s' '� .0, i• '1 � �' � psi' r �-°� t L� 1 �y <br />