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URS GrApVoodward Clyde , <br /> 2520 Venture Oaks Drive,Suite 250 Chain Of Custody Record Pagel_of <br /> Sacramento,CA 95833 LIP <br /> (916)929-2346 I <br /> Project Number site Name Analytical Methods List number of containers,preservative per method <br /> (e g for sample of 3 VOA vials with HCI,record 3,A in box) <br /> Number <br /> 0 -33:D 1 2 1`- .0z <br /> Sampler's signaturesI CT <br /> `� <br />� ��� r_��__ ��°i �`� IVY �4•`N <br /> Date Time Matrix Grab Camp Q <br /> Sample Number Sample Location Depth (MM/DD/YY) (24 Hour) SACODE MET Cl�� Remarks <br /> z 1 '3 <br /> 3 <br /> MW 3 ; S 11�r & � 314 <br /> l 1 <br /> Z'25 Ytr �� — f V� j"Ief—I r� <br /> � / f <br /> I <br /> Matrix Types A-Air GS-Sol[Gas,GE-Gaseous Effluent,P Product,S-SoillSedimentlSolid,T-TiPreservation A-HCL,B-HN43, <br /> ssue,W-Water C-H2SO4 D-HCL,NaOE-ice, 1=-(specify) <br /> WG-Groundwater, ww-waste Water,O-Other(spe*) <br /> 11111115T, G-Grab TD-Tedlar AC-Sum ! RELINQUISHED BY(SIGNATURE) DATE TIME RECEIVED BY (SIGNATURE) <br /> REL/ QUISHED BY(siGNATURE) 11/114 <br /> r�!1! DATE TIME RECEIVED BY (SIGNATURE} <br /> I 10Z <br /> a`i <br /> RELINQUISHED t3Y(SIGNATURE) DA E TIME RECEIVED BY LABORATORY DATE TIME LAB Name and LAB Contact P� L) C <br /> (SlGNATURE) fes: Q I <br /> COOLER ID SEND RESULTS TO 7 S Wl f,� vt �v'`Crt f 6/4 <br /> Lf:::: w. <br /> FAX Preliminary results (916)929-7263 or (916)922-5008 <br /> White-Original to Accompany Samples YelloURSG Main Office Pink-URSG Field Office N o. 8538 <br /> i <br />