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AEMC Job # (CONFIDENTIAL) AE-MC Log #_ <br /> . rrrrr:rrr <br /> SAMPLE MANAGEMENT RECORD rrr**rrrrt <br /> Generator/Client �]Gl� . i' ts�V�ic.VFM� <br /> AEMC Project Manager SCHL44,�C <br /> • Job Description WA-p.TERLy (5;ecuK W*T&P 5AMPLhJfr <br /> SAMPLING INFORMATION <br /> Sampling Date_ /Z.$� LF�q Sampling Collector L• 0K-S Y <br /> Sampling Location —rRX6o)(, C • <br /> (Provide sketch on back and match sample # with sampling location) <br /> i Suspected Toxic Constituents HyDRivUs <br /> Field Conditions MIL-f> �a KJIND/ <br /> • Sample Depth/ Time Sampling <br /> PKTE Sample # Type Drum# Sampled Method Notes <br /> 2 / N;AIV 5 gel-Twj.rrR Q <br /> 1{)a-3 L41555 <br /> (For more than 4 samples, attach a Continuation Sheet) <br /> •' aa-- LABORATORY ANALYSIS <br /> Laboratory, ��lT Contact/Phone # <br /> Date/Time Samples Delivered AEMC P.O.#_ <br /> Report Due Date 2 W9Ur_5 "Rush" Authorized by <br /> Analysis Requested 7IPt-f <br /> �K(oUa. <br /> lQTc: PLS. GALL (MMS-7PiA}TGLY iF _DETEGTA�BLE &C7a's CMt41Y P To WI.YZ6 <br /> Send results to AEMC Engineering Division, Attention : <br /> Sample Retention Instructions <br /> • CHAIN OF CUSTODY <br /> Relin uis4ed y (Company) Received by (Company) Date/Time <br /> PrOx <br /> • <br /> AMERICAN E.ki=RONMENTAL MANAGEMENT CORPORATION <br /> -- - - --- .... 11 eoc_c GCI. ' <br />