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it r r r r r r r r r r r r r r r ■r r �■ <br /> URS CORPORATION Chain Of Custody Record <br /> 2870 Gateway Oaks Drive, Suite 300 <br /> Sacramento, CA 95833II G Page of <br /> (916)679-2000 (916)679-2900 FAX p)O l� J. <br /> Project Number: Site Name: Analytical Methods: List number of containers,preservative per method <br /> (e.g.for sample of 3 VOA vials with HCI,record 3,A in box) <br /> K-FJ AtlkSF y <br /> oa nn., <br /> Sampler's sign,ture1s: Iq <br /> Qom! <br /> 4 , r <br /> Matrix Grab Comp T Jry N� °j �9 <br /> Date Time Eb ? a <br /> Sample Number Sample Location Depth (MM/DD/YY) (24 Hour) SACODE MET r �' Remarks <br /> 7� ) <br /> So 3 It U13ZS So Y k Y SS SlEeU'e_ <br /> ►y- 3� "'J l 3S 113yo 5� x x 2 <br /> > 313 - zf0 r, 13 2a 1OZ-0 50 y r 3 <br /> 5 103 S- X x <br /> t3 F IZoo 5� Y X S5 16c ,e 5 <br /> 11 to CsW XZS�MI pl <br /> Gw 1-JK ` 0L( J`oA <br /> E <br /> Matrix Types:A-Air;GS-Soil Gas;GE-Gaseous Effluent;P-Product;S-Soil/SedimenUSolid;T-Tissue;W-Water; Preservation:A`HCLL B-M;N;;C-H2SO4; <br /> WG-Groundwater; wW-Waste Water;O-Other(specify) D-NaOH; E i ILS F-(specify) <br /> MET: G-Grab TD-Tedlar' AC-Summa <br /> R�E,LI (SHED Y:SIGNATURE) DATE TIME REC VED BY:( TORE) 114-2 RELINQUISHED BY:(SIGNATURE) DATE TIME RECEIVED BY:(SIGNATURE) <br /> Vif f .��ti 3-1 Z—oq <br /> N) <br /> RELI UISHED BY:(siGNATURE) DATE TIME RECEIVED BY LABOR ATORY: DATE TIME LAB Name and LAB Contact <br /> (SIGNATURE) . . <br /> ! Remarks: COOLER ID: SEND RESULTS TO: <br /> I _ [-] FAX Preliminary results:(916)679-2900 <br /> White-Original to Accompany Samples Yellow- URS Main Office Pink-URS Field Office No. <br />