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b0 <br /> G. <br /> yo <br /> CHAIN OF CUSTODY <br /> G o 1135 W, Sunset BA•d. Suito A <br /> Excelc }iem Rociclh CA 95765 REPORTING REQUIREMENTS BELOW: <br /> ° Ph: 956.543.4445 Fx: 91M43.4449 PQF I Standard Format <br /> Q o EnvironmentaE Labs Prone u' I . _3 / - ,7 7 <br /> I =~ Geotracker ! EQF 1 Provide Global ID y <br /> �i t/) Pro;cct rd,ja�nger '� :.0 e � ... Gc�l �• , _f • .a f 7 �- <br /> o ,I EmalAdd.essfcrRaperting: (t urvtr-'J E? t Cc M <br /> �J Faze; <br /> N s emg Address fcr Repert rlg: p_pm 1 Pro;ed Name: EDD ! Equis ! Data Table <br /> ae <br /> _ Cr / f1J� * , z <br /> ! f W Company hamv & rVl"ress C1,. 1 Z rz;! � <br /> - ` t c MDL Format <br /> Uj <br /> C= �, Ik7a iz00% `f 0" Ikak L u� � ' Jf Projectty atloa: <br /> Data to he reported to State's Database ? Yos_ No_ y _ <br /> UJ <br /> LU Bi:6ng Address: ti , c EDT I CDPH • Provide Source Cafes I PVI+ S [D: y <br /> CL f ! I� l � 9iU � Samplarramv: p • � , �(rc� — <br /> ! � f � page of <br /> 4 cl/ <br /> Sampler <br /> 44t�rr, 7, ANALYSIS REQUST _ > Ae usE: <br /> re. <br /> Bin <br /> Metals a <br /> Matrix Table: Preserved ? ti�srr I� and naa boy, ava'&61 c <br /> S = <br /> Stic Iota' <br /> Soil 1 Sludge ! Solid (circle ane) <br /> Yes a <br /> a No - <br /> ❑ A = Air - - <br /> Y <br /> DW = Drinking Water <br /> Y b o Mo l = . <br /> x f'AW = Monitoring Wells rj m <br /> E <br /> E ° a u `m U d m MCb orgy v <br /> o t— GW = Groundwater � E <br /> b <br /> c Q g p TW = Troated Water to cn ro ra a < o o Q C i <br /> E <br /> WW = Waste rcWat SA14tPLING summ ;5o o c o t <br /> a <br /> SAMPLE ID: cases +DATE TIMIE 2 �* t�' c] N in <br /> y Z � <br /> V • <br /> K U <br /> U � V <br /> V <br /> N <br /> > <br /> 1Y 115. CSC <br /> Y U) <br /> c � <br /> T DATE Timor. Receivedzby:,i <br /> Remarks: c <br /> Y Relinqui^h y, i.', w o <br /> (� t 1 G' <br /> INNo <br /> o � Relinquis, by: DATE TIME Re by Labra( <br /> W <br /> F = V <br /> 3 <br />