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MAlffbF?& DrhEt%Ffflr <br /> ERM!West, Inc. <br /> 1777 Botelho Drive, Suite 260 • Walnut Creek, CA • 94596 • (510) 946-0455 • FAX(510) 946-9968 Page of <br /> PROJECT# PROJECT NAME <br /> MATRIX REQUESTED PARAMETERS <br /> SAMPLER (PRINT NAME) (SIG TURF) <br /> RECEIVING LAWRATORY <br /> iwlwla�5' 1-k 1 10 <br /> 1 y�3 M4 boo,-m- 6L VA> , 5",',rE Z) <br /> CSF *151 <br /> p °0 SAMPLING � SAMPLING Q <br /> SAMPLE I d BATE TIME Q METHOD �� �_� VOLUME <br /> U C7 a <br /> U5 Z-5P j f" le D� µ4nr S <br /> V° P°spa <br /> �o <br /> R N I (SIG ATUAE) DATE TIME RECEIVED BY DATE TIME FIELD REMARKS <br /> � x/A Xlk��T 1900 L-Apms�o' /�;a <br /> IN UI HED BY( ATURE) DATE TIME RECEIVED BY 6AYE TIME <br /> CUSTODY SEW NUT INTACT CSJ'M <br /> 041ER oC <br /> RELINQUISHED BY(SIGNATURE) DATE I TIME oei RECEIVED BY DATE TIME r,(IOLERTEMPERATURE <br /> -I't J,1-* - - 6'4�1�t a" �j V�, i <br /> REMARKS ON SAMPLE RECEIPT ERM REMARKS SEND REPORT TO e4a aw <br /> ❑ BOTTLE INTACT ❑ CUSTODY SEALS ❑ CHILLED x 'tf - <br /> Mir Tv I�AICe� �� 7�Q-�1r6-3N33 <br /> ❑ PRESERVED ❑ SEALS INTACT ❑ SEE REMARKS4a)f- �,CI�I ALa b f <br /> WHITE-LABORATORY COPY CANARY-FIELD COPY PINK-DATABASE MANAGER GOLD-PROJECT FILE <br />