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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 Page_of <br /> Sacramento, CA 95833 0 C)Iq 11 Q <br /> (916)679-2000 (916)679-2900 FAX <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 /> 13 foo z 51 C-rV& ,TKTPJ <br /> Sampler's signat `M'S: � M <br /> Matrix Grab Comp <br /> Date Time 3 <br /> Sample Number Sample Location Depth (MM/DD/YY) (24 Hour) SACODE MET �,�3 Remarks <br /> z O Gw <br /> lL�— tJ �1� �1rz oi3 0-740 �W X X 3xyQ 1 0� <br /> Matrix Types:A-Air,GS-Soil Gas;GE-Gaseous Effluent:P-Product;S-Soil/SedimentlSolid;T-Tissue:W-Water, PfeSBrvatiOn:A``_�CL�B NO C-H2SO4; <br /> WG-Groundwater; WW-Waste Water;O-Other(specify) D-NaOH; E-Ice; F-(specify) <br /> MET: -Grab TD-Tedlar AC-Summa RELINQUISHED BY:(SIGNATURE) DATE TIME RECEIVED BY:(SIGNATURE) <br /> RELINQUISHED BY:(SIGNATURE) DATE TIME RECEIVED BY:(SIGNATURE) <br /> 711z10g Wtlo <br /> RELgVQUISHED BY:(S GNATURE)- DATE TIME RECEIVED BY LABORATORY: DATE TIME LAB Name and LAB Contact: <br /> S ATU ) <br /> �13 o f' p oQ <br /> Remarks: 0 �G/U COOLER ID: SEND RESULTS ina <br /> /06 h .ry / C7�U �� �„� � � FAX Preliminary results:(916)679-2900 <br /> White-Original to Accompany Samples O Yellow- URS Main Office Pink- URS Field Office No. <br />