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CHAIN OF CUSTODY Page 4 of 4 <br /> ^� Lab CLS <br /> TAT Standard _. . <br /> Report results to <br /> Name Een Heningburg -- Pro4ect Information <br /> Company E NSR Site Address 5606 Pacific Ave _ <br /> Mailing Address 10411 Old Placerville Road,Suite 210 ENSR No 06940-293 100 <br /> City State Zip Sacramento,CA 95827-2608 Unocal No 5098 <br /> Telephone Na 916-362-7100 ext 315 Global Ila No T0607700006 <br /> Fax No 916-362-8100 Analyses Requested <br /> r� <br /> special instructions antltor specific regulatory raqurrement; <br /> REPORT ALL PEAKS ON 8280 FULL SCAN W <br /> LU <br /> ,n <br /> w $ <br /> --Date 'erne Matrw- NIL-Df- Sample ConditlonlCarnments M <br /> Sam le Identification Sa led Sam"led 1VlediaCt�rtlsr N ' a <br /> IaeJHCL <br /> MW 25S -A-U-61f• N GW 8 X X X Ice+HCt. <br /> MW-25D - GVt 8 X X X IoerHCL <br /> AS.26l- GW $ X X X Ice1HCL <br /> Ice[HCL <br /> fcwHCL <br /> loeMCL <br /> IcatHCL <br /> Collected by j7ele/Tlme Q` `,� -- Collector's Signature, Dare717me A=te- 7 )12- <br /> Relinquished by yZ-Received by- tlatlrne <br /> Reltnqutshedby DatelTlme Received by tlaterrime�� �{ . <br /> Method of Shtpment T Sample Condition on Rcpt � <br /> I <br />