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KIFF ANALYTICAL SHELL Chain Of Custody Record <br /> Shell Project Manager to be invoiced INCIDENT Numaert(S&E ONLY � <br /> 2795 Second Street,suite 300 0 SCIENCE&ENMER[N Karen Petryna 9 8 9 9 5 1 8 41 DATE N ill/W <br /> Davis,CA 95616 ❑YMWCAL SOVIM SAP Ar CRl4tT NVM6ER(TSlGFlMT)I <br /> (530)297-4800 (530)297-4808 fax ❑GRW Hp Woti 3`6 LAOMrufla "" III PAGE �1 of �1 <br /> L E IIgRE89lStn.l ind II GL0 -L QNQ <br /> Cambria Environmental Technology,Inc CETS 2575 Country Club Blvd Stockton CA NIA J <br /> AGGRESS. EGF GELWRA&LE 70 MoWnpW PM1TQ DnWww PHONE NO CW'7L <br /> cCNSULTANT PRGVECT NO <br /> 59DO Holtts Street.Suite A,Emeryville,CA 94808 <br /> PRGIECTOONTACT Pw�vr v M)F PAW IvT NIA <br /> Cynthia Vasko EW RII NAIAE WA 1245-0783 <br /> TELEPHONEI ;i <br /> . USEONLY <br /> 570.424.7344 510.42D-3394 craskaQGmbrlaymi eam �')1}y r&uaazc,4 <br /> FI t <br /> TURNAROUND TIME(BUSINESS DAYSI l 3 <br /> ❑ 10DAYS ❑ s DAYS❑ 72HOURS❑ 4B Hou 2q LES THAN 24 HOURS I� REQUESTED ANALYSIS <br /> ❑ LA RWdQCB REPORT FoRNAT ❑ uS7 AGENCY <br /> GCIMSMTBECONFIRMATION HGHEST HIGHEST per BORING ALL g n m r FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES CHECK BOX IF EDD I5 EMNEEOEO � � u z°� � o � � y <br /> o r- io' j to w o � Z rh ContalnerlPreservative <br /> r 40w o n m I ° o or PID Readings <br /> CL e e ddd � = �t or Letroratory Notes <br /> phi reading(field)=d e� ■ a ` ry o x � a E <br /> f /7.t3 R.P Q '" ` L" -5 X a c4 <br /> C"4 <br /> $ a ` T <br /> 6/ CAS} N w r ai <br /> v oov G tl 'fl�To QR��`/�TAA�lfG o a C > s W <br /> fRE Field Sample Identlflcatlon S AMM NQ MATRIX N� z W w g m aj r a o a u+ TEMPERATURE ON RECEIPT C' <br /> 1Df1LY DATE TIME GDNT to O 5i w uai y y 7 �� �E a <br /> gun <br /> ' t INF / D AQ to x Ix x <br /> a ` x Y x <br /> MID i rTL+'�J <br /> AQ 6 How <br /> r Ir <br /> MID 2 AQ b x x x <br /> IL <br /> ` Ir <br /> EFF AQ ld x xf xy�� <br /> 1[ <br /> L—L I <br /> �, 11 <br /> xtds53 �� i <br /> l� <br /> (SwukrelRawminned i� Dam <br /> M 1 Reopdgresana..�1 oxe <br /> II <br /> �f <br /> ,I <br />