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Page of <br /> A Environmental Audit, Inc. o Chain of Custody Record <br /> Planning, Environmental Analysis and Hazardous SAMPLING REQUIREMENTS: RCRA❑ NPDES❑ SDWA❑ ❑ <br /> Substances Management and Remediation WRITTEN QC REPORT TURNAROUND TIME: <br /> 1000 ORTEGA WAY, SUITE A (714) 632-8521 ROUTINE QC J;ir <br /> PLACENTIA, CA 92870-7162 FAX (714) 632-6754 RWQCB QC ❑ SAME DAY❑ 24hr❑ 48 hr❑ NORMAL❑ <br /> PROJECT NO. PROJECT NAME: CONTR <br /> TYPE ANALYSIS REQUESTED REMARKS <br /> SAMPLER:(Signature) PROJECT MANAGER: <br /> � F <br /> z <br /> F- 5 � m ¢ [0 w <br /> ¢ N z x < <br /> a <br /> a <br /> SAMPLE NUMBER DATE TIME V U SAMPLE DESCRIPTION (� a °i Fe'- m U a >O z <br /> 1,12 <br /> ✓�a�i K �? r C�/6Y66. <br /> AP <br /> A 1 �B <br /> OF CONTAINERS <br /> RELINQUISHED ignature) DATE/T1] RECEIVED BY:(Signa(ure) RELINQUISI-IED BY:(Signature) DATEMME RECEIVED BY:(Signature) <br /> /5: D <br /> ELINQ ISIIED BY:(Signature) DATEIIIME RECEIVED BY.(Signature) RELIN(1UIS11LD HY:(.Signature) DA'FFJIIME RECEIVED BY:(Signature) <br /> SAMPLES SHIPPED VIA: SHIPPED BY (Signature) COURIER:(Signature) RECEIVED FOR BY:(Si lure) DpTElrIA1E <br /> FedEx❑ UPS❑ Airborne❑ P .4 <br /> Bus❑ Hand❑ ❑ <br />