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Environmental Chemistry Lab-Berkeley <br /> 700 Heinz Ave.Suite 150,Berkeley CA 94710 <br /> Phone:(510)540-3111 Email:smof(@dtsc.ca.gov '. <br /> Sample Transport Record Sheet <br /> Authorizatlon <br /> Site Name:1 6-kL-�� C.l+fir`..tsr fi�+�lGk�L <br /> Site Address:(JO I-e4rAMI D,nu <br /> C 1,t{ {cam cn 95264 <br /> Record included:2ARF 21SAR <br /> Analysis Location of Remark (see note) <br /> ECL No. Collector ID. Sample Type Request Sample(s) <br /> gta s TCs - oS u SfGl ,�prn� S5 <br /> Q CUogj$ -TCS —O 3' S6t Lec SNK- SS. . <br /> `ry <br /> Remarks:osc-Original Sample Container,SS-Split Sample;A-Aliquot;F- Fractionated Sample <br /> Released for Transport by: - a <br /> Name: FYb Me..tsly signature: �rvv' T Datemme: Q ( <br /> CNK{S, @ r ?V <br /> Tracking Number,,J138 IM 2711 Confirmation Number. <br /> Transported to <br /> Name r2t <br /> Name of Laboratory: l.M G� hr Cr Location:(city) -- — -- <br /> Transported by:(circle one) ed Other - If other,specify: Nis{ <br /> Include copy of transport bill in authorization folder. <br /> DCN:07.0072.00_Revislon 2 02/20/2018 Approved by Quality Management Officer Page 1 of 1 <br />