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.J1 ILL vIL �,kiwirHlV Y CHAIN OF CUSTODY RECORD Dal <br /> ETAIL ENVIRONMENTAL ENGINEERING •• WEST • somal No- Pa9wor's, <br /> She Address: 341 East Main St. Ripon, CA <br /> Analysis Required LAB: S .,.o- <br /> MCC <br /> 204--6522-0307 a� cfrccx our Irl sox arJeY coat lUI1H AlfOUHo nrSI <br /> Shell En lneer: a CW. mon>forfn9 ( "Al 24 hours ❑ <br /> 9 Phone No.• (510} <br /> Karen Petryna lFa x2 j.6 23797821 f O - Saofilr.,Iloal" ❑ 4"1 gnaw (] <br /> Consullanl Name &Address: 9 .o $.rclo.,ry/°>,po,ol ❑ su: <br /> G H dart E)IHoimop <br /> _ Waist <br /> 408 = ►- cla„ryrarpo,at ❑ 4Ja>v olb.r ❑ <br /> Consullal;+ Conlacl: Phone No : { } <br /> Francis Thie �a7 -p o o f r <br /> _ oaµI'mats , ❑ 4452 <br /> (3 Ln '/1 HOX. HOMY lob a, <br /> Comments: /' Waist�.m at 7yn. tJi! doorl o,pool"of <br /> U o a rt ❑ 74/41 nn. TAF -, <br /> °, z ❑ <br /> Sampled by: �, L, <br /> c 9i <br /> p Go a o I N '� o . LIST AGENCY: <br /> Prinled Name: < < La w 1 S t o 4) T3 0 <br /> .. <br /> x ° r a. o R C'- MATERIAL SAMPIE <br /> Sample ID Dale Sludga soil water All N° °r � � � o N o � d � C � CONDITION/ <br /> coals I- ,_ m > ;t cJ d V a U DESCRIPTION COMMENTS <br /> X <br /> I <br /> i <br /> WUNS <br /> Rellnqulshed By(sign ro). Pllnled Name, ® Dal* J Lq RQ�celve (lug lure)• P fad Narrw: <br /> Timoill <br /> IC .__ <br /> vlrDa <br /> \qudPilniad Name ( <br /> e:11-.�y1 <br /> , � -� Rocolvod(sl nalure) Plllad NaDa <br /> Time <br /> -y <br /> TTmo: <br /> �d By{dQna } Prinlod No Dula Recurved(slUnolute) Pslnlod Name- <br /> moi. ,it a Dale: <br /> Tlme, / /9 <br /> � � t3GR�Nc o (Ime:711E LAB!QRAIQRY tAUST PROVIDE A CQEX!2F T1115 C11A bf-!2f CV51ODY WITH INVOICE ANQ RESULT1 3� _ I <br /> �p <br />