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CHAIN-OF-CUSTODY AND SAMPLE- 1 DENT I F1 CATION RECORD <br /> ERM-West 2001 P Street , Suite 200, Sacramento, CA, 95814-52131 (916) 444--9378 <br /> receiving laboratory <br /> client Date --:C' / Page t of <br /> ��� � � � Sequoia Analytical <br /> Weather' 819 Striker Ave, Suite 8 <br /> Santa Fe No of containers (this page o ) Sacramento,CA 95834 <br /> project Number 6 X220 <br /> 4 Samplers) <br /> Phone:916-921-9600 <br /> l0 do S gnat ell ( Fax.916-921-0100 <br /> P.o �`515q <br /> Sample Time Sample type Containers Preservative Ice Sampling Analyses <br /> ID tt (soil/water) --— —---—-- y/N Method <br /> (grab/comp) No Volume Type <br /> 1 Liter 8015 Modified-Diesel <br /> SFW-1 —Water—— 2 2 Liters Amber Glass — None —— Y Teflon Bailer —— Total Oil&_Grease �z <br /> — —— — �— 1 Liter — 8015 Modified-Diesel <br /> SFW-2 1 ���� Water 2 2 Liters — — None — Y Teflon Bailer -- Total Oil& Grease <br /> 1 _ Amber Glass .— -- -- —•-- <br /> 1 Liter .— Y Teflon Bailer 8015 Modified-Diesel <br /> SFW-3 V l 4S' Water 2 2 Liters Amber Glass — None —— — — ———— —_ Total Oil& Grease_ <br /> s an <br /> -- ---- <br /> ------ -- __Eq±— - — <br /> ----- ------ -- -- ----- ------- — ------ - —per shanncsn Wa <br /> Comments Send report to Sacramento address to the attention of Shannon Sadler Gusto———— dy Record / �3 <br /> _____-----._—._-------------------� — Signature/Date/Ti e / / <br /> -------------------.-----------.----- Relinquish — Ai •'YS_— <br /> Invoice Purchase Order Number —————_————__.-——————----.- Received � —1/1 P_�� <br /> --_--.—_^_.—_-----_------.---------- --- Relinquished r�l <br /> ----------.-----_.—.....—_. .-----.---._ Received <br />