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Billing Information: Ana111v4s/C ntainer/Preservati.ve Chain of Custody Page_L ofd <br /> FCOM - BNSF Region 4 Accounts Payable "res <br /> 401 West A Street,Ste 1200 ChkOL <br /> yW� )q f. �� - aceAnalytical° <br /> X3500 Porsche Way Ste 300 San Diego,CA 92101 <br /> Ontario,CA 91764 - <br /> Report to: Email To.Peter.Torrey@aecom.com, 12NS Lebanon Rd Q 'Q <br /> 122 <br /> Peter Torrey Toni.Huriey@aecom.com r Movn[1WI7TN 858 <br /> 1 37 <br /> Plane:Jura5 t,TNa <br /> Project n City/States iCrf h C. Please Circle. a O Yy laiPho61eoo-1-1859767 z O <br /> .� ra,..611 1111-1859 <br /> Description: '"^ u� Collected: P MT CT FT o � V. 1 ) <br /> Client Project# lab P•olect# Z r �y J FSD #(�"� <br /> Phone:909-285-3472 L 9.r 4 <br /> 60599304 BNSF4AECOM-OIL <br /> Fax o S \ ,il b e# J121 <br /> CollegqteQ by(pri t# ): ((]],,��, SiteillA0dy I•D#S�J� ✓J P.O.# <br /> 'l�1 v' j�"�� 4vr� 117771 a � Acctnum:BNSF4AECOM <br /> in Collected by(si e): Template:Tl$5803 <br /> Rush? (Lab MUST Be Notified) Quote# 1 h �' - <br /> Same Day Five Day G .V x� Prelogin:P735454 <br /> _Next Day _spay(Rad only) Date Results Needed Q I ,� PM:134-Mark W.Beasley <br /> Immediately _Two Day _to Day)Rad Only) No. /� <br /> Packed on Ice N Y _Three Day �+ PB. 1O-(�-fgtiw. <br /> °f °; � Q d shipped via.FedEX Priority <br /> Sample ID Comp/Grab Matrix' Depth Date Time :ntrs �O <br /> o Remaru� samPiea('aboniyl <br /> o DO 1 X X X `v( <br /> i <br /> 'Matrix. emarks:'"Used Oil Analysis:PBICP,ASICP,CRICP,CDICP,TOXOIL,PCBOIL&IGN. Samol^ ReQeipt Ciceckli5 <br /> SS-Soil AIR-Air F-Filter pH Temp CCC Seal Present/Intact: NP Y _N <br /> GW-Groundwater B-Bioassay COC Signed/Accurate: Y _N <br /> WW-Waste Water Flow Other Bottles arrive intact: <br /> Correct bottles used: sLY _N <br /> DW-Drinking Water Sufficient volume sent: gY N <br /> Samples returned via: <br /> OT-Other iA.S �r� Tracking# ,S -70 D.� If Applicable <br /> 1 <br /> _UPS _FedEx _Courier L 1 VCA Zero Headspacere: _Y N <br /> Relin Date: Time: Rece ed by (Signature) Trip Blank Received: Yes/ o Preservation Correct/checked: y _N <br /> HCL RAD Screen <0.5 mA.hz: <br /> pyo-iy A/;�2_ J 7� <br /> TBR <br /> Retrnquishecrby:(Signature) Date: Time: Received by:(Signature) Temp: °C Bottles Received: If preservation required by Login:Date/Tiore <br /> __1; A�L I <br /> Relinquished by:(Signature) Date: Time: Received for Is :ISign Lure) Date: Time: Hold: Curdnr <br /> � NCF OK <br />