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LAB: <br /> ❑TA-Irvine,California Q SHELL Chain Of Custody Record <br /> ❑TA-MorganHill,California 1 NAME OF PERSON TO BILL: Denis Brown iNgo <br /> ..: <br /> A-Sacramento,California Q ENVIRONMENTAL SERVICES <br /> �� CHECK BOX TO VERIFY IF NO INCIDENT#APPLIES g $ g g 5 g 7 4 DATE: <br /> �TA-Nashville,Tennessee j} <br /> ❑Calscience NETWORK DEV/EE ❑BILL COtJSULT p0� <br /> ❑Other ❑COMPUANCERMT/CRMT " PAGE: 2 0( <br /> ❑ <br /> SAMPLWGCOMPANY: LOG CODE SRB ADDRESS:Street and City GLO6ALWNO. <br /> BlalT,eTech Services 341 East Main Street, Ri on CA T0607700724 <br /> AOORESS' EOF DELIVERABLE TO(Name,Cempury,Oteca Location): PHONENO.: E-MAIL: COTA <br /> NSULNTPROJECTNO.: <br /> 1680 Rogers Avenue,San Jose,CA 95112 p7�3 <br /> PROJECT CONTACT(Hsrd:opy ar POF Reputic}: Joe Neely,Cambria,Sonoma 707-933-2361 sonomaedf@cambria-env <br /> Jason Brown SAMPLER NAME(s)(P(PM): I,A f1$�QNLY <br /> TELEPHONE FAX: EMAIL: � <br /> 916.925-2913x102 916.925.2891 Lbrown ( <br /> Wainetecncom /�,J�'L�"'La'�►—C/'�G�' ✓�3 <br /> A..._ <br /> TAT(STD 1S 10 BUSINESS DAYS/RUSH IS CALENDAR DAYS); RESULTS NEEDED <br /> STD ❑ S DAY ❑ 3 DAY ❑ 2 DAY ❑ 24 HOURS CN WEEKEND REQUESTED ANALYSIS <br /> ❑ LA-RWQCB REPORT FORMAT ❑ UST AGENCY: <br /> SPECIAL INSTRUCTIONS OR NOTES: ❑EDD NOT NEEDED <br /> ❑SHELL CONTRACT RATE APPLIES m N FIELD NOTES: <br /> ❑STATE REIMS RATE APPLIES v Co Container/Preservative <br /> ❑RECEIPT VERIFICATION REQUESTED y fl <br /> Lu or PID Readings <br /> o F Or Laboratory Notes <br /> of <br /> on ill <br /> San Joaquin County Reporting Limits a' - mmp w m m00 mup $ mm <br /> N N (O b 4 ID O O (e fA C" O N i4 <br /> p d N C m N r0 to N N to <br /> l9 D rn~ ao wN w ov Q N v <br /> OJ O C <br /> ( SAMPLING NO.OF z no W Q W w O m TEMPERATURE ON RECEIPT G° <br /> '§. Field Sample Identification MATRIX az z r o m n N a <br /> :; CONT. <br /> DATE TIME r m $ r o Fa- w w <br /> IV <br /> is is <br /> ('77 <br /> p <br /> 0 <br /> Ce <br /> rn <br /> o� <br /> ,Relinquished by:(Signature) Received by:(Signature) Date: Timo. v <br /> Relinquished byalure) Received by(Signature) Dale Time' a <br /> 30' v� /Som <br /> Relinquished by:(SIg ) Receivedby:(Sigrt lure) Dale. Time: 0 <br /> O <br /> 05102)06 Revislon <br />