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r-- r- r r-- r-- r- r- r- r- r- r-- r-- r- r- r r- r- r-- r-- <br /> Chain of Custody Record Paciflc Gas and Electric Company Page 1 of 1 <br /> cxlonf PMOd MOMW MWwatlon and <br /> G&E Technical and Ecological Services ES John Woodruff-PG&E .Com <br /> Address rok hone Number Fax Number LabwWwy <br /> Crow Canyon Road 925.888.5883 1925,866-5681 STL San Francisco <br /> Ctly State Zip Cods Site Coated Laboratory Phone <br /> San Ramon CA 194583 None 925.484.1919 <br /> Sampler LabaraloryFaz <br /> S #titae Center 4d4(#:West L6fle Stockton,GA- John Woodruff 925.484.1096 <br /> Candad/Purd;ase O►derQuole Number <br /> 600013883 <br /> Sample l.D.Number and Dew4won(STK) Date Tine Sample typeV M conlainem Prese►vatlfs <br /> ve CondOon on RacsWrommen8 <br /> Sw-wjn*uqftw <br /> Possible Hazard ilendf cationSample Disposal <br /> ❑ Non-Hazard ❑FlammabN ❑Skinlaant ❑Polson B a/0*own ❑ Reium To CUent Disposal By Lab Ardrhre for 3 Mbnths <br /> Turn around rune Reqund QC Level Project Specific Requirements(Specify) <br /> ❑ Normal ❑ Rush ❑ Other ❑ L ❑ d. ❑ BL <br /> 1,Re#Muished By Data Tyne 1.Reoelved By Date Time <br /> 2 Relinquished By Date Time 2.Received By Date Tine <br /> 3.Relinquished By Daft nine 3.Received By Date Tune <br /> Comments <br /> COC Stockton Sere Ctr.xls <br />