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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 ROUTJNE QC�< <br /> PLACENTIA, CA 92870-7162 FAX (714) 632-6754 RwQCB QC ❑ SAME DAY ❑ 246r❑ 48br❑ NORMAL❑ <br /> PROJECTNO. PROJECT NAME: CONTR <br /> TYPE ANALYSIS REQUESTED REMARKS <br /> SAMPLER:(Signature) PROJECT MANAGER: 3 w <br /> n n O <br /> H _ C'w ¢ w <br /> 0 <br /> r" .6 <br /> � TjSAMPLF <br /> SAMPLENUMBER DATE TIME 0 DESCRIPTION C�7 a'�. 0.� F fes-• F "c0 U .W.] > z <br /> I 0�. )0 �/ -/z�l�/�c T <br /> WX <br /> 3 —�.- q: ys L % <br /> lto:a �. — <br /> A , R <br /> OF CONTAINERS <br /> RELINQUISHED .(Signa ) DATE/ThM� RECEIVED BY:(Signature) RELINQUISHED BY:(Signature) DATE/71b1G RECEIVED BY:(Signature) <br /> .. NQ 11IED BY..(Sienamrc) DATEIIIME RECEIVED BY (SUDMILI e) It LI.INQIIISI ILD BY:(Signmure) DATE/TIME RECEIVED BY:(Signature) <br /> SAMPLES SHIPPED VIA: SI TIPPED BY:(Signature) COURIER:(Signature) RECIVED T R.BY:(Signature) DATE/TIME <br /> FedEx[] ❑ <br /> PedEzUPS❑ Airbome <br /> V <br /> Bus[] Hand❑ ❑ LA___ _, S_ L "rl ,( ll1 <br />