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AEMC Job # �' (CONFIDENTIAL) A=.MC Log # 7/0 -7 <br /> • ••tet•***• SAMPLE MANAGEMENT RECORD **e*****• : <br /> Generator/Client <br /> AEMC Project Manager HCiGK <br /> • Job Description <br /> SAMPLING INFORMATION <br /> Sampling Date �4 N4 Sampling Collector <br /> • Sampling Location <br /> (Provide sketch on back and match sample # with sampling location) <br /> Suspected Toxic Constituents <br /> Field Conditions U-'"re,)' . <br /> • Sample Depth/ Time Sampling <br /> Sample # Type Drum# Sampled Method Notes <br /> (For more than 4 samples, attach a Continuation Sheet) <br /> • LABORATORY ANALYSIS <br /> Laboratory. L «` Contact/Phone # <br /> Date/Time Samples Delivered�)f4 N-4' AEMC P.O. # <br /> •. yReport Due Date-s / ra /S�- "Rum' Authorized by <br /> Analysis Requested <br /> -7r <br /> • i t i<c ALTS w -1 Po c �- ICN' ( Pk k) I�L-SC <br /> Send results to AEMC Engineering Division, Attention: <br /> Sample Retention Instructions <br /> CHAIN OF CUSTODY <br /> • <br /> Relinquished by ,(Co pp y) Received by (Company) Date/Time <br /> ;�. 7 Z 4 <br /> AMERICAN ENVIRONMENTAL MANAGEMENT CORPORATION <br /> 11855 White Rock Road , Rancho Cordova, CA 95670 (916) 985-6666 <br />