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Billing Information: 'Jm.N Cuol <br /> rty Vase L ol, <br /> AECOM - BNSF Region 4 _ x <br /> g Accounts Payable <br /> 401 West A Street,Ste 1200 Chk V -�� t. �" CCAfl2lyhC21 <br /> 3500 Porsche Way Ste 300 San Diego,CA 92101 /'-' <br /> Ontario,CA 91764 - <br /> 1 <br /> Repo"to Email To b ❑pFl teawo,Rd QQi <br /> Peter Torrey Peter.Torrey@xcom.com;Tnni.Huriey@aecom. V ela.e.F 751-11sa1 <br /> Project Description city/State State Please Grde. n`.'.aoo lsnssse <br /> X P ty/ / el 1.�.111 Lm 1119 ❑E <br /> I .SF G, C• Collected: S k,+oe� C/'a kR CT E T <br /> us <br /> G / <br /> Lilent Project a tab Project e Z '+ SDG It <br /> Phone:909-285-3472 ` 0' <br /> 60622637.03 BNSF4AECOM-OIL J206 <br /> I T. <br /> Collected by(print): Site/Facility ID a P.O.a soi-I Actin <br /> . o 6kx lh fon mo✓'mon Sigh/�(l,,,r�l , -� -Z Tempi m:BNSF4AECOM <br /> _ •;^, � emplate:T155803 <br /> Collected by lsgruture: Rush) (tab MUST Be Notified) Quote a 4-3 \ <br /> Same bay —twit Day C O G Prdogin:P767902 <br /> Neat Day _5 Day(Rad Disd Date Results Needed Q �� = PM:130-Mark W.BeasleY <br /> ImWely Two Day _10 pay(Rad Only) No. 0 r� PB: <br /> Packed on lee N— Y� _Thre/Grab e wY of 9 '40 �, K <br /> 'tee t\ T ti snipped via:FedEX Ground <br /> Sample ID Comp Matna' Depth Dat< Time to <br /> a rr� <br /> 1-5-7,D y 1 X I I <br /> •Matrix: Rema tits:'•Used Oil Analysis:As,Cd,Cr,Pb,IGN,PCBOIL,TOXOIL l�-s-ss—t <br /> S-Sol AIR-Air F-Filter pll Temp _- COC Seal Pzesent/Intact: <br /> COc signed/accurate <br /> W-Groundwater B Bioassay : .�_N <br /> Bottles arrive i.L.Ct: N <br /> wastewater FlOther O;ner Correct bottles used: _t <br /> W-Drinking Water sufficient volume eert:OT <br /> ! _N <br /> i� Samples returned via: <br /> Trxki R <br /> -Other i _UPS _FedEx _Courier S voA zero Beadsp.o.: bte y , <br /> Pelinquishe (Sin re Date: P�me. Received b (S� ran,re'� Tri Bulk Received: Yet TO MD Screen < Cor rete/Checked: y <br /> Re=) - Y g p •`1 HC/I MeuN pre screen n Co mR/nu �Y _N <br /> 131r fey/ l/ TBR <br /> Relinquis d try:(Signature) Date: Time: Received by:(Signature) Temp eC Bmtles Received. If Preservation required by Login:Date/Tlme <br /> Relinquished <br /> (Signature) Date: Time: Received for la7b, <br /> by:Is' ostia Dat¢ -�me: Hold: Condiiipn' <br /> 1//117 /ZVU1 09 �D NCF it <br />