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.chain of Custody No. <br /> Multiple QQQ�5 �p5 NO <br /> rve 317 Elm Street Milford NH 03055 <br /> CHAIN OF CUSTODY (603) 673-:5440/Fax (603) 673-0366 <br /> A 4 s s s a d o q s C e t s s <br /> CUSTOsMER: Unitlrst Corporation CITY STATE; 5 G �Y TURNAROUND TIIVIC:(CIRCLE ONE:) <br /> CITY&STATE J <br /> 68 Jospin Road wl latl(,_. Q4.� ®unitirst.com Standard <br /> ADDRESS: E-MAIL: . <br /> ', 15-20 Day RUSH{ 111 1]5T➢C I'RG-APPROVED) <br /> Wilmington, MA 01887 w� <br /> C[TYIS'tATE/111' LOCATION; ;L'OC . 7day 5 diq J day 3 duy 2 tlay I (N). Snrtzc 9.1y <br /> 978-658-8888 ie�v� il'ICI' El VES ❑GWI ❑C,IV3 <br /> TELEPHONE: <br /> INVOICE ENTAIL: ��t/ fie@G�4 Sys �m 0 NO ❑GW2 <br /> REPORT TO: Timothy Cosgrave Sarah White / <br /> INVOICE TO: <br /> EHS@Unifirst.com TCLP 2020 <br /> ENIAII,TO: P.O.NUMBER: <br /> z SAMPLE (DA4ATRIX <br /> 7 SAMPLE WrNTIFICATION& Q LOCATION COLUrZTED mm TYPE <br /> °p r,urtuvau',rrealrt o <br /> � Q rultil:l:�r;ut1'rl:s ctrl '� <br /> U (D 0 U II U WAKITtIATIA10 I Q u Q ANALYSIS <br /> TCLP SVOA <br /> dy D Soiid 1 TCLP VOA <br /> 20 <br /> -Tr Tratr, <br /> TCLP Pesticides <br /> TCLP Herbicides <br /> 11,1'I'F'm Lln31s <br /> TCLP RCRA 8 Metals <br /> Ignitability <br /> pH <br /> Ixr •mil; - <br /> Paint Filter <br /> %Solid <br /> I,1•rr ME <br /> . 11hTF :tl�rF' <br /> d CUSTODY SAMPLER:; �+ MILITARY SAi IPLL CHECK LIST: iG FIELD RLAF1INC(S}& COAINI.!N'CS: <br /> (print unnw) IIATG ..T[�Ir R�CEII'E F)NVITHIN HOLT]Tlp3li ❑tt <br /> nr AVED IN G D CONDITION V on NO Please fill in all grey areas <br /> SIGNATURE: <br /> �&/xwz1 dy.•� •nLANIC 012°C <br /> �• IT hCli P OR HAND DELIVEREDITEL,INQLIISHEn: s,,Is l.,T:s�vcttc rRr�PEEttx rttr„til:ItvED vo 1,41,%- n,rw•: <br /> '1141FSAhIPUSWERL• FILTERED IN FIrLD LAD !, <br /> RCCLCVFI7: IF Na(EXPLAIN: <br /> REI..INQuIsI-rl:n: <br /> >> TrArr. <br /> RECEIVED FOR L.411. <br /> ZI`iZ� `Z4 C�ROTIP#2,l`?�Q <br />