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Company Name/address: 8ilbng Information: pnal.—I f to npr I Prncpn.ativp Chain of Custody Page_of <br /> UniFirst Corporation - Wilmington, MA Sarah White Pres <br /> 68 Jonspin Road 1 ChkaGie- <br /> fig Jonspin Road Wilmington, MA 01887 PEOPIf aYMICI 155fIEXCE <br /> Wilmington,MA 01887 <br /> Report to: Email To:sarah_white@unlfirst.com MT JULIET,TN <br /> Sarah White 603-493-9605 '^ ` tmesta4. Rd 0.140� dil —,lx <br /> W � s�Em+rt�a sanw+e vl�trlk Uraur ar Haloes <br /> I' ` ea.".taf KWlawl and Koeptanur of the <br /> Project Description: City/state Please Ci le: p <br /> PaH Terms and Cordifloro fowM al: <br /> Unifirst 370-Stockton,CA Collected: PT MT ET Z o� MmFlltir"><'I'u"mm��eru'..:u.w,m-Hrm..aer <br /> Client Project p Lab Project N U o f, T <br /> Regulatory Program(DOD,RCRA,DWretci: N z ty Q SDGP <br /> UNIFIRST 370 CA UNIFiRWMA LOC37fl �o <br /> Collected by{printf: �[` Site/Facility ID 4 P,0-N U v CL <br /> LA Tab D189 <br /> ST4CKTON,CA N W a ^ 0 Q Al IiNIFIRWMA <br /> 0 <br /> Collected by(signature): Rush? ILab MUST Be Notified) Quote# Template:T278878 <br /> a rN in <br /> o <br /> Same Day _Five Day FJ fV Preiosin:P1170614 <br /> _Next Day _5 bay(Pad Only) Date Results Needed Q Cu <br /> PM:364-T.Alan Harvill <br /> Immediate _Two Day _10 Day(Rad Only) No, N LaJ E— C Fp <br /> Packed on Ice N_ Y _Three Day `5TD TAT of a cc + Q o PB- <br /> K <br /> Shipped via:f dEX saver <br /> Sample ID Camp/Grab Matrix' Depth Date Time ntrs Z Z J w a?iar cr•i <br /> TREW.H GRIT SS E� 2 X X —' Q <br /> TRENCH GRIT SS 3 X X X G� <br /> TRENCH GRIT Leachate J X Q <br /> S <br /> 'Matrix: Remarks: Sample Rec f t ec ist. <br /> Airl Me, <br /> pH Temp CaC seal Present/Intact: P <br /> GW-Groundwater 8-Bioassay Flow Other Pottles arrive intact: N <br /> WW-Wastewater Correct bottles used: TN <br /> DW Drinking Water Samples returned via: �/J / _�+, Sufficient vcluApplicablesent <br /> Tracking N L �p(�Lf if <br /> OT-Other UPS _Fed Ex —Courier A l VDA Zero Headspace: _Y _N <br /> Relinquished by:(Signature} Date: Time: Received by:(Signature) Trip Blank Received: o Preservation Correct/Checked: Y _N <br /> R D Screen <0.5 mR/hr. _N <br /> r 115 L2, `� I <br /> /MeoH <br /> TER <br /> Relinquisbdd by:(Signature) Date: Time: Received by:(Signature) Tg "C Bottles$Retil If preservation required by Login:Date/Time <br /> Relinquished by {Signature) Date; Time: Received for lab by Dg��,• Time: �- Hold: Conditiop�� <br /> `('rI f Y(� NCF /L <br />