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l I A,. <br /> _ RS G►elner Woodward Clyde 4`'� bCM <br />+� r 520 Venture Oaks Drive, Suite 250 Chain Of Custody Record Page of <br /> J Sacramento,CA 95633 <br /> PPPe. � <br /> �-b3n- t�•12t� ~ � <br /> (916)929-2346 E <br /> rProject Number: Site Name: Analytical Methods:List number of containers,preservative per method <br /> (e.g.for sample 3 VOA vials with H ,record 3,A In box) <br /> ?OJG� � II�" OZ i� � f] — '�` f lcX <br /> �. a _ <br /> Sampler's signatures: <br /> X] f <br /> Date Time Matrix Grab Campo �,� <br /> Sample Number Sample Location Depth (MM/DD/YY) (24 Hour) SACODE MET '� a Remarks <br /> rnwl- 6 y w-1 06- 2z-60 /004 S ill 6- X <br /> 2 <br /> 1-111A) Z - b y►,ry- Z G ' . G— e-z -c- 11 /5- N1 x x <br /> h�w3- 6 W- 3 G -z � -�G 1334 5 110 & X X <br /> -rQ f r� ,'e� rrSl� Jc -- 6—zt-0 IZGo w T, G ?e X <br /> —l <br /> r:d <br /> Mstrl=Types:A-Air;GS-Soil lies;GE-Osseous Effluent,P-Product s-SoWSedimenYSolld;T-Tissue;W-Water: Preservation:A-HCl-;B-HNO3; <br /> WG-Groundwater, wW-Waste Water;O-Other(specify) C-H2SO4 D-NaOH; E-Ice; F-(specify) <br /> ET, _Grabm 7 - I • A - umma <br /> RELINQUISHED BY(SIGNATURE) DATE TIME RECEIVED BY:(SIOMTURE)f RELINQUISHED BY:(stGMME) DATE TIME RECEIVED :(sIGNATURE) <br /> lea it X A,.r b: 4 <br /> f53a 9��6 79?o3s <br /> RELINQUISHED BY:(sicw►TURE) DATE TIME REC VED IIlk BORATORY: DTE TIME LAO Name and LAB Contact: C- U - <br /> 1 l? n C r rJ f <br /> Remarks: COOLER ID; SEND RESULTS TO: 1-'1 1 C OX <br /> FAX Preliminary results:(916)929-7263 or (946 `12=586 <br /> El <br /> White-Original to Accompany Samples Yellow- URSG Main Office Pink-URSG Field Once N o. 8301 <br />