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State of California-California Environmental Protection Agency kN <br /> rtment of To do Substances Control <br /> Northern California Region OFFICIAL SAMPLE RECEIPT Southern California Region <br /> Sacramento Office - Glendale Office <br /> 10151 Croydon Way,Suite 3 1011 N.Grandview Avenue <br /> Saomramto,'CA 95827 Glendale,CA 91201 <br /> (916)855-7700 (818)551-2800 <br /> Clovis Office <br /> 1515 Tollhouse Road Cypress Office <br /> Clovis,CA 93611 5796 Corporate Avenue <br /> (209)297-3901 Cypress,CA 90630 <br /> (714)484.5300 <br /> Berkeley Office <br /> 700 Heinz Avenue,Suite 200 <br /> Berkeley,CA 94710 <br /> (510)540-2122 - /r c <br /> Firm <br /> Aaa,w.l16'IU J^t�OS�Cl/,t� �,✓-` ary� 20-4 <br /> lbnoo lmervieaW A,I ' rosidoo. <br /> The items listed below were collected as official samples on this date as authorized by Section 66272.1, California Code of <br /> Regulations, Title 22. <br /> Quantity Unit Size Sample Description - ID Nuinber <br /> %Ar i . t TCS-5 1 + <br /> 1 ?arm �rh, taifiQ rug lQci 3 n 6tqA^r <br /> �- _cavila Ut GS <br /> D i tel f,-el (> 'gib " <br /> it �h _p <br /> Receipt acknowledged by: <br /> 61 By <br /> Sigrmture '?Adaodma Agent. <br /> DTSC 1237 (0498)- _ - <br />