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AE.MC Job # (CONFIDENTIAL) *-EMC Log # ' <br /> r ********* SAMPLE MANAGE.MENT RECORD *****fffff <br /> Generator/Client ' , I i- <br /> AEMC Project Manager ^ <br /> Job Description ) /✓ <br /> J <br /> SAMPLING INFORMATION <br /> J <br /> Sampling Date = L Sampling Collector <br /> Sampling Location <br /> (Provide sketch on back and match sample # with sampling location) <br /> Suspected Toxic Constituents <br /> Field Conditions L h <br /> J <br /> Sample Depth/ Time Sampling <br /> Sample # Type Drum# Sampled Method Notes <br /> o' / <br /> 41 <br /> (For more than 4 samples , attach a Continuation Sheet) <br /> LABORATORY ANALYSIS (� <br /> Laboratory Contact/Phone # <br /> Date/Time Samples Delivered A'// A.i+^ • AEMC P.O. # <br /> Report Due Date /q/-3/SY "Rush" Authorized by <br /> Analysis Requested <br /> J � i <br /> Send results to AEMC Laboratory, Attention:— -.;2 <br /> Sample Retention Instructions � %I - <br /> CHAIN OF CUSTODY <br /> Relinquished by (Company) _ Received by (Company) Date/Time <br /> ZW <br /> AMERICAN E9VIR0NMENTAL MA2�AGE}LENT CORPORATION <br /> _ -%, n'�a . . CA 951;70 (9161 995-6666 <br />