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State of Califomia-California Environmental Protection Agk Department of To)ac Substances Control <br /> Northern California Region OFFICIAL SAMPLE RECEIPT Southern California Region <br /> Sacramento Office Glendale Office <br /> 10151 Croydon Way,Suite 3 1011 N. Grandview Avenue <br /> Sacramento,CA 95827 Glendale, CA 91201 <br /> (916)855-7700 (818)551-2800 <br /> Clovis Office <br /> 1515 Tollhouse Road Cypress Office <br /> Clovis, CA 93611 5796 Corporate Avenue <br /> (209)297-3901 Cypress, CA 90630 <br /> (714)484-5300 <br /> Berkeley Office <br /> 700 Heinz Avenue,Suite 200 <br /> Berkeley, CA 94710 <br /> (510)540-2122 <br /> Firm Nsme <br /> Ar t' i jr /� Date 6 <br /> Address City tip Code <br /> � S <br /> Person Interviewed Position <br /> The items listed below were collected as official samples on this date as authorized by Section 66272.1, California Code of <br /> Regulations, Title 22. <br /> Quantity Unit Size Sample Description nID,N*u�mber <br /> 6 r t !J C <br /> t ' <br /> art "x <br /> 6L , <br /> �Q� `? <br /> C! •%LG A e C} L <br /> Receipt acknowledged by: <br /> S— , <br /> By <br /> Signature Authorized Agent <br /> DTSC 1237 (04/98) <br />