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vvr�,vr7 �rrr,l V'ICl.11 <br /> Port of St ton Chain Of Custody Record <br /> 7743 l6t Ln Suite 132 Send Invoice to qW <br /> Stockton CA 95210 Port of Stockton <br /> (209)462-0892 Department of Environment and Regulatory Affairs <br /> FAX 209-477-$14$ P 0 Box 2089 DATE <br /> Stockton,CA 95201-2089 j t <br /> Attn Rita Koehnen PAGE I of <br /> coNsuLTANTc;QwADIY <br /> SITE ADDRE93(Strut and Clry) <br />� WGR Southwest,Inc <br /> AooREss Port of Stockton UST Site No 3 <br /> 315 W Ptne Street,Suite 8 <br /> carr PROJECT CONTACT(Rppr,mq]Jim Neal cdNsuLrANTPRotECTNo <br /> Lodi,California 95240 sALwlFtt UutEls7{P ng <br /> TELEPHONEFly„ <br /> (209)3345363 (209)334-5374 neat /e a r sti {I r'�,�r) � <br /> 19 QwgY sw cam 3 f(A r" S �. <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> ❑10 DAYS ❑' 5 DAYS ❑72 HOURS ❑48 HOURS ❑24 HOURS❑LESS THAN 24 HOURS <br /> REQUESTED ArraLYsls <br /> SPECIAL INSTRUCTIONS OR NOTES TEMPERATURE ON RECEIPT C° FIELD NOTES <br /> 8 <br /> n <br /> 0 <br />� m <br /> c <br /> 'Q o <br /> W N <br /> IAa m <br /> 011 Field Sample IdentificationSAMPLING IxATRU( NO OF s w <br /> QmLr RATE TIME CONY m <br /> x` MW 3-1 a( (Y fo Aq 4 X X Container List <br /> 40 ml VOA Vials vnth HCI <br /> MW 3-2 S ?( Y }Q Aq 4 X X <br /> MW 3-3 4 <br /> {. MW 3-4 5- i t y v Aq 4 X X <br /> MW 3-5 f (3 S Aq 4 X X <br /> �4-� MW 3-6 S-a/ 13 3 Aq 4 X X <br /> Trip Blank 0 Aq 4 X X <br /> Relinuhed ignatue)rq IS4•7r/g1 3� <br /> ~\ <br /> F ' dale Tlme , <br /> hed <br /> -Reeeirpd by 1S14na q�lle <br /> / / Time <br /> Relinquished 4y(Signature) <br /> Received 6y,(519nahme) D <br /> BIG Time <br /> 015TRVSUTIoN YdhRe wrm linai mpart Gresn to Fns YeAow and Pink to Client <br /> 10174103 Revision <br />