Laserfiche WebLink
Ship To: <br /> R f")I y <br /> CHAIN OF CUSTODY RECORD l'"''` '-' -1:1: T7 <br /> Pacific Gas & Electric Company SLLYL 21111�V%A_D n <br /> 3400 Crow Canyon Road, San Ramon, California 94583 1 <br /> (510)820-2000 Attention: Phone: 8 Sa Page <br /> of <br /> Job Number: Project Name: Project Manager: <br /> i A L <br /> (040,071513- UA 1 8-s, 1P b, �,i- <br /> li C% <br /> Samplers ignatures) Field Team Leader: e <br /> SAMPLE SAMPLENO. <br /> NUMBER DATE TIME TYPE SAMPLE INFORMATION OF REMARKS <br /> CNTRS. 40 <br /> ca IF7 Ll <br /> 2- Fr <br /> ,F'T <br /> IT, Pr- GAMPLIE T--o P—JN � OF <br /> T4E I tj <br /> 21 <br /> S— Cla 0 F-r <br /> ca o FT- <br /> Y <br /> -7 ca Z.0 F-r 'YYIJ 2-- <br /> F,-_7 6Z 8.0 Fl- "/-t/,I- <br /> 13- 'Rp z..D PT- <br /> R Ii qui d By:(Signature) Dateffime: Receive By:(Signature) Date/Time: Ship Via: <br /> L <br /> Relinquished By:(Signature) Date/Time Received By:(7ature) Date/Time: BL/Airbill Number Date <br /> Relinquished By:(Signature) Date/Tme: Received By:(Signature) Date[Time: <br /> DISTRIBUTION: Original Accompanies Shipment;Canary Copy to PG&E;Pink-Sampler NOTE: Samples are discarded 30 days after results are reported unless other arrangements are made. 60006997/GI/TI97 <br />