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CHAIN-OF-CUSTODY AND SAMPLE- I DENT I F1 CATION RECORD <br /> ERM-West 2001 P Street , Suite 200, Sacramento, CA, 95814-5213, (916) 444-9378 <br /> client receiving laboratory <br /> Date: _-UN& Page. .,-,L of: _i,._ Sequoia Analytical <br /> Atchison, Topeka, and g <br /> Santa Fe Railway Company Weather: �� ' 1900 Bates Avenue, Suite L <br /> No of containers (this page only). f0 Concord, CA 94520 <br /> Sampler(s)- Phone (510) 686-9600 <br /> ERM-West Job No 653 10 Signature( -- <br /> 11 <br /> Sample Time Sample type Containers Preservative Ice Sampling Analyses <br /> ID (soll/water) — — (Y/N' Method <br /> (grab/comp) No Volume Type <br /> SFW-1 Water/Grab 1 1 Inter FAmber None Yes Teflon 015 Modified <br /> --- -- ----- — -- __tss _ _ _ bailer <br /> SFW-1 Water/Grab #Z �X 40 ml Glass VOA via[ .— _` — _Teflon -- <br /> _ — HCI —— Yes bailer 02(BTXE) Lf �� <br /> SFW-2 Water/Grab 1 liner Amber None _ Yes Teflon 015 Modified <br /> ———„ _ —___ ___ glass _ _ _ bailer <br /> SFW-2 Water/Grab _ X 40 ml _ — — — Teflon ( — ) — '— -- <br /> _ <br /> $2 Glass VOA vial HCl Yes 02 BTXE <br /> -- — ____ ___ _____ _ bailer <br /> 10 <br /> __-_ _ _ <br /> MlIftl <br /> SFW-3 WaterlGrabAmber Teflon <br /> ——_ —_ ___— 1 —1 Inter None Yes——I ss ` — — bailer 015 Modified `— <br /> SFW-3 Water/Grab 2 3 X 40 ml Teflon <br /> Z Glass VOA ural HCI Yes 02(BTXE) <br /> — -- ---- — ----- ------ ___— — _ bailer _S� <br /> Travel Water ——' <br /> Blank - er $1 IQ X 40 ml Glass VOA vial Yes_ HClHCI — Lab 802(BTXE) <br /> provided <br /> Comments Normal tumarotaudE�ues. nd LeparLip—S __ Custody Record <br /> -- <br /> _______— __----- Slgnature/Dat ime <br /> Relinquished rZ:l <br /> --------_—_—._..`______...—____—__--_-- �.�.- <br /> - <br /> Received <br /> Relinquished <br /> Received <br />