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r <br /> AEMC Job # � 5 i G • (CONFIDENTIAL) .EMC Log # <br /> SAMPLE MANAGEMENT RECORD ********** <br /> Generator/Client 1 hdUL+5 <br /> AEMC Project Manager <br /> Job Description 4JeI � '^"'(�I <br /> SAMPLING INFORMATION <br /> Sampling Date 1 1 /-7 g ` Sampling Collector D � 54 <br /> Sampling Location 4X'� d 1*L,�r� A4<LJ.0 _ <br /> (Provide sketch on back and match sample # with sampling location) <br /> Suspected Toxic Constituents <br /> Field Conditions— W 4rrn Pa(- }0LAZi 1r <br /> Sample Depth/ Time Sampling <br /> Sample # Type Drum# Sampled Method Notes <br /> p14 ctd n-� w•r.CP <br /> I <br /> 4C4yer b.l. ir-.A4-&,* <br /> Cr$ - 15 se 1'1 �' b,4 10:3 G a�t�c— h <br /> (For more than 4 sUnples , attach a Continuation Sheet) <br /> �t LABORATORY ANALYSIS <br /> Laboratory `�� Contact/Phone #�e' LSU <br /> Date/Time Samples Delivered AEMC P.O. # <br /> Report Due Date JS/� "Rush" Authorized by 5, r2c=,1i, <br /> Analysis Requested <br /> i <br /> Send results to AEMC Laboratory, Attention : G-r—� 12 , <br /> Sample Retention Instructions <br /> CHAIN OF CUSTODY <br /> Relinquished by (Company) Received by (Company) Date/Time <br /> T. <br /> AMERICAN ENVIRONMENTAL MANAGaKENT CORPORATION <br /> 11655 white Rock Road , Rancho Cordova , CA 95670 (916) 985-6666 <br />